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1790030633
KELLY J HWANG
LAKE ELSINORE, CA
NPI
1790030633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 61930)
Additional Taxonomies
122300000X Dentist
(Licence: TX 28225)
Enumeration Date
2012-07-17
Last Update Date
2016-02-12
Business Address
KELLY J HWANG D.D.S.
141 N MAIN ST
LAKE ELSINORE, CA 92530-4118
Phone number: 951-245-5003
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Mailing Address
KELLY J HWANG D.D.S.
141 N MAIN ST
LAKE ELSINORE, CA 92530-4118
Phone number: 951-245-5003
Copy
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