Most Relevant Information
Provider Data
| NPI Number: | 1003269614 |
| Provider Name: | JEONG HWA HONG DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 12012568A |
Most Important Dates
| Enumeration Date: | 07/19/2016 |
| Last Updated: | 07/19/2016 |
Provider Practice Location
1121 W MICHIGAN ST
INDIANAPOLIS
IN
462025211
Practice Location Phone/Fax
| Phone: | 3172747957 |
| Fax: |
Provider Mailing Location
401 N SENATE AVE UNIT 546
INDIANAPOLIS
IN
462041257
Provider Mailing Phone/Fax
| Phone: | 3174354242 |
| Fax: |