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Organization
KWON DENTAL CORPORATION
Active
Organization
KWON DENTAL CORPORATION
Active
Other names
Alessandro Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OH JAE KWON DDS (PRESIDENT)
(951) 322-4060
Entity
Organization
Contact information
Practice address
13925 INDIAN ST, MORENO VALLEY, CA 92553-5718
(951) 322-4060
(951) 322-4061
Mailing address
13925 INDIAN ST, MORENO VALLEY, CA 92553-5718
(951) 322-4060
(951) 322-4061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46484
CA
Other
Enumeration date
11/19/2012
Last updated
07/09/2013
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