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General NPI Number Information
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NPI Number | 1770879439
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Entity Type | Organization
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Legal Business Name | DANIEL WONIL HWANG DDS INC
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 17695 ARROW BLVD STE J
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City | FONTANA
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State | CA
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Zip | 92335-4041
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Country | US
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Telephone | 909-356-8074
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Fax | 909-356-8084
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Provider Business Mailing Address
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Address Line | 17695 ARROW BLVD STE J
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City | FONTANA
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State | CA
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Zip | 92335-4041
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Country | US
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Telephone | 909-356-8074
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Fax | 909-356-8084
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Authorized Official
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Title or Position | PRESIDENT/DDS
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Name | DANIEL WONIL HWANG
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Credential | DDS
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Telephone | 818-764-0113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 47096
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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