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Organization

PETER KWON DDS LLC

Active
Other names
Seneca Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
TRISHA LANGE (OFFICE MANAGER)
(301) 916-5800
Entity
Organization

Contact information

Practice address
20 EXECUTIVE PARK CT, GERMANTOWN, MD 20874-2645
(301) 916-5800
(301) 916-0500
Mailing address
20 EXECUTIVE PARK CT, GERMANTOWN, MD 20874-2645
(301) 916-5800
(301) 916-0500

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13018
MD

Other

Enumeration date
12/31/2012
Last updated
12/31/2012
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