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Organization
HENRY S. KWON, D.D.S. INC.
Active
Organization
HENRY S. KWON, D.D.S. INC.
Active
Other names
CARE Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY S. KWON D.D.S. (PROVIDER/PRESIDENT)
(909) 820-9454
Entity
Organization
Contact information
Practice address
2836 W RIALTO AVE STE A, RIALTO, CA 92376-6816
(909) 820-9454
(909) 820-9482
Mailing address
2836 W RIALTO AVE STE A, RIALTO, CA 92376-6816
(909) 820-9454
(909) 820-9482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D47505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4750501
DENTI-CAL
CA
Enumeration date
02/17/2010
Last updated
02/17/2010
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