Individual
JOHN HEE CHANG KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1098 FULTON AVE, MONTEREY PARK, CA 91755-4008
(310) 701-3299
Mailing address
1098 FULTON AVE, MONTEREY PARK, CA 91755-4008
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
62954
CA
1223G0001X
General Practice Dentistry
62954
CA
Other
Enumeration date
09/16/2013
Last updated
06/15/2023
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