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Individual

CATHY KWONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
100 LAKE SHORE DR STE 112, ALTAMONTE SPRINGS, FL 32714-5012
(407) 869-0001
Mailing address
100 LAKE SHORE DR STE 112, ALTAMONTE SPRINGS, FL 32714-5012
(401) 869-0001

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN1860049
MA
122300000X
Dentist
Primary
DN25556
FL

Other

Enumeration date
05/04/2021
Last updated
07/10/2026
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