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Organization
O. KWON DENTAL CORPORATION
Active
Organization
O. KWON DENTAL CORPORATION
Active
Other names
Sun Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OH JAE KWON DDS (PRESIDENT)
(909) 576-7175
Entity
Organization
Contact information
Practice address
82935 AVENUE 48 STE 103, INDIO, CA 92201-6757
(909) 576-7175
Mailing address
9675 MONTE VISTA AVE STE G, MONTCLAIR, CA 91763-2213
(909) 576-7175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
09/22/2023
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