| NPI | 1407992787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD C HWANG Owner 253-850-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |