Individual
YOUNG HAN KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
1186 SPRUANCE ST, SAN JOSE, CA 95128-4244
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
A183091
CA
208600000X
Surgery Physician
A183091
CA
Other
Enumeration date
05/30/2017
Last updated
06/11/2023
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