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Organization
OH J. KWON DDS, INC
Active
Organization
OH J. KWON DDS, INC
Active
Other names
BR Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OH JAE KWON DDS (PRESIDENT)
(909) 874-5200
Entity
Organization
Contact information
Practice address
436 S RIVERSIDE AVE, SUITE B, RIALTO, CA 92376-6523
(909) 874-5200
Mailing address
436 S RIVERSIDE AVE, RIALTO, CA 92376-6523
(909) 874-5200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46484
CA
Other
Enumeration date
01/05/2007
Last updated
10/25/2014
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