Organization
JUSTIN J KWON DDS, P.C.
Active
Other names
Green Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN KWON (PRESIDENT)
(720) 340-0348
Entity
Organization
Contact information
Practice address
10700 E BETHANY DR STE 210, AURORA, CO 80014-2680
(303) 745-8828
Mailing address
10700 E BETHANY DR STE 210, AURORA, CO 80014-2680
(303) 745-8828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9372
CO
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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