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Individual
DR. SO RAN KWON
Active
Individual
DR. SO RAN KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS, PHD, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40135
IA
Other
Enumeration date
01/11/2010
Last updated
04/17/2013
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