Individual
STEPHEN K KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1304 15TH STREET, SUITE 308, SANTA MONICA, CA 90404
(310) 393-9706
(310) 899-1828
Mailing address
1304 15TH STREET, SUITE 308, SANTA MONICA, CA 90404
(310) 393-9706
(310) 899-1828
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
27446
CA
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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