Individual
STEPHEN SOONBEOM KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2035 LAKEVILLE RD STE 205, NEW HYDE PARK, NY 11040-1661
(516) 437-1633
Mailing address
13 DARTMOUTH DR, DEER PARK, NY 11729-1005
(516) 240-3777
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
063774
NY
Other
Enumeration date
07/15/2020
Last updated
07/18/2024
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