Individual
DR. THOMAS SAN-YEOP KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4701 KENMORE AVE,, SUITE 122, ALEXANDRIA, VA 22304
(703) 751-1112
(703) 370-8875
Mailing address
4701 KENMORE AVE,, SUITE 122, ALEXANDRIA, VA 22304
(703) 751-1112
(703) 370-8875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008655
VA
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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