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Organization
PETER KWON DDS LLC
Active
Organization
PETER KWON DDS LLC
Active
Other names
Seneca Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA LANGE (OFFICE MANAGER)
(301) 916-5800
Entity
Organization
Contact information
Practice address
20 EXECUTIVE PARK CT, GERMANTOWN, MD 20874-2645
(301) 916-5800
(301) 916-0500
Mailing address
20 EXECUTIVE PARK CT, GERMANTOWN, MD 20874-2645
(301) 916-5800
(301) 916-0500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13018
MD
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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