MEDICARE: DR. CHIAO TZE HWANG D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	48918	CA

General Provider Information

NPI Number	:	1689738106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHIAO TZE HWANG D.D.S

Provider Business Mailing Address
First Line	:	4700 PANAMA LN UNIT 102
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-3481
Country	:	US
Telephone Number	:	661-836-8999
Fax Number	:	661-832-5285

Provider Business Practice Location Address
First Line	:	4700 PANAMA LN UNIT 102
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-3481
Country	:	US
Telephone Number	:	661-836-8999
Fax Number	:	661-832-5285

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	01/15/2013

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