Individual
DR. DANIEL KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1720 E HATCH RD, MODESTO, CA 95351-5075
(590) 241-5905
Mailing address
409 172ND PL SE, BOTHELL, WA 98012-9189
(206) 355-6805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
103853
CA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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