Individual
ISABEL KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6100
Mailing address
300 3RD ST APT 702, SAN FRANCISCO, CA 94107-1252
(415) 967-9698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105445
CA
Other
Enumeration date
03/08/2019
Last updated
10/21/2020
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