Organization
JUSTIN J KWON DDS, P.C.
Active
Other names
GREEN DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN KWON DDS (OWNER)
(303) 469-5301
Entity
Organization
Contact information
Practice address
290 NICKEL ST STE 500, BROOMFIELD, CO 80020-2129
(303) 469-5301
Mailing address
290 NICKEL ST STE 500, BROOMFIELD, CO 80020-2129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
10/23/2018
Last updated
11/13/2018
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