Individual
JIAE KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1033 OLD BLYN HWY, SEQUIM, WA 98382-7670
(360) 681-3400
Mailing address
1033 OLD BLYN HWY, SEQUIM, WA 98382-7670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60592613
WA
Other
Enumeration date
10/04/2015
Last updated
11/05/2024
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