# PATRICK KWONG P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073471710
- **Authorized official:** MR. PATRICK KWONG DDS (OWNER)
- **Authorized official phone:** (360) 426-2631

## Contact information

- **Practice address:** 428 W BIRCH ST, SHELTON, WA 98584-1735
- **Practice address phone:** (360) 426-2631
- **Practice address fax:** (360) 426-0483
- **Mailing address:** PO BOX 788, SHELTON, WA 98584-0788
- **Mailing address phone:** (360) 426-2631
- **Mailing address fax:** (360) 426-0483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2026
- **Last updated:** 01/12/2026