Basic Information
| Provider Information | |||||||||
| NPI: | 1386861847 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HWANG | ||||||||
| FirstName: | JAE | ||||||||
| MiddleName: | HEE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | VII | ||||||||
| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | YORK HOSPITAL DENTAL CENTER | ||||||||
| Address2: | 1001 S. GEORGE STREET | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512066 | ||||||||
| FaxNumber: | 7178513565 | ||||||||
| Practice Location | |||||||||
| Address1: | YORK HOSPITAL DENTAL CENTER | ||||||||
| Address2: | 1001 S. GEORGE STREET | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512066 | ||||||||
| FaxNumber: | 7178513565 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | DS037035 | PA | Y | Dental Providers | Dentist |
No ID Information.