Individual
DR. TAEK JOON KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030
(860) 679-2000
Mailing address
10 TALCOTT RIDGE RD, UNIT H, FRAMINGTON, CT 06032
(959) 261-8358
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14142
CT
Other
Enumeration date
06/28/2024
Last updated
07/03/2024
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