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Organization
JIAE KWON DDS PLLC
Active
Organization
JIAE KWON DDS PLLC
Active
Other names
Rolling Bay Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JIAE KWON DDS (MEMBER)
(206) 369-7331
Entity
Organization
Contact information
Practice address
730 ERICKSEN AVE NE STE 200, BAINBRIDGE ISLAND, WA 98110-2819
(206) 842-8686
Mailing address
730 ERICKSEN AVE NE STE 200, BAINBRIDGE ISLAND, WA 98110-2819
(206) 842-8686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/09/2026
Last updated
09/09/2026
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