Individual
DR. JIN HWAN KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61314663
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE61314663
DENTIST
WA
Enumeration date
07/26/2022
Last updated
03/19/2025
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