Individual
GRACE KIMEUNHYE KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
388 PARK AVE, WORCESTER, MA 01610-1025
(508) 798-6565
Mailing address
3 COLD SPRING DR, GRAFTON, MA 01519-1027
(404) 488-3283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1858542
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1858542
MA
Other
Enumeration date
06/30/2019
Last updated
04/08/2026
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