Healthcare Provider Details

I. General information

NPI: 1598686289
Provider Name (Legal Business Name): HWANG DENTAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13100 MAGNOLIA AVE STE B
CORONA CA
92879-5365
US

IV. Provider business mailing address

4255 E RANCH GATE RD
ANAHEIM CA
92807-3417
US

V. Phone/Fax

Practice location:
  • Phone: 310-433-3521
  • Fax:
Mailing address:
  • Phone: 310-433-3521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM HWANG
Title or Position: CEO
Credential: DDS
Phone: 310-433-3521