Individual
DR. CHUCK S KON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
191 W H ST, COLTON, CA 92324-2922
(909) 825-7732
Mailing address
191 W H ST, COLTON, CA 92324-2922
(909) 825-7732
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28873
CA
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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