| NPI | 1164046207 |
|---|---|
| Other Name | TAE HWANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901601756) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.026134) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2025-03-19 |