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General NPI Number Information
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NPI Number | 1336691955
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Entity Type | Organization
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Legal Business Name | VICTOR HWANG DENTAL INC
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 2243 VAN NESS AVE STE 101
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-2504
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Country | US
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Telephone | 925-457-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 1807 SANTA RITA RD STE D228
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City | PLEASANTON
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State | CA
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Zip | 94566-4779
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Country | US
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Telephone | 925-457-4884
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | DR. VICTOR K HWANG
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Credential | DDS
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Telephone | 925-457-4884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 50925
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License Number State | CA
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