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Organization
SUNSET DENTAL PROFESSIONAL
Active
Organization
SUNSET DENTAL PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW WOOSUNG KWON DDS (DENTIST)
(626) 960-2766
Entity
Organization
Contact information
Practice address
1042 W WEST COVINA PKWY, WEST COVINA, CA 91790-2810
(626) 960-2766
(626) 962-8216
Mailing address
1042 W WEST COVINA PKWY, WEST COVINA, CA 91790-2810
(626) 960-2766
(626) 962-8216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52627
CA
1223G0001X
General Practice Dentistry
54659
CA
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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