Individual
JESSICA KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1643 S SAN JACINTO AVE STE A, SAN JACINTO, CA 92583-5181
(951) 654-7744
Mailing address
421 S ASH ST, REDLANDS, CA 92373-5859
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
101510
CA
Other
Enumeration date
07/06/2017
Last updated
06/08/2022
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