Individual
DR. DENNIS KIM KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1228 180TH STREET CT E, SPANAWAY, WA 98387-1967
(206) 218-6946
Mailing address
1228 180TH STREET CT E, SPANAWAY, WA 98387-1967
(206) 218-6946
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DENT.DE.60901870
WA
1223G0001X
General Practice Dentistry
Primary
DE60901870
WA
Other
Enumeration date
10/04/2018
Last updated
04/29/2019
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