Individual
DR. MIN CHUL KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6910 N MAIN ST, UNIT 6B, GRANGER, IN 46530-9681
(574) 247-2521
Mailing address
6910 N MAIN ST, UNIT 6B, GRANGER, IN 46530-9681
(574) 247-2521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011206
IN
1223G0001X
General Practice Dentistry
17583
MI
Other
Enumeration date
04/11/2006
Last updated
04/27/2017
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