Individual
DR. PETER TAE-JIN KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
225 CENTRE ST, MALDEN, MA 02148-5524
(781) 324-3200
Mailing address
170 TREMONT ST, UNIT 404, BOSTON, MA 02111-1131
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19754
MA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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