Individual
DR. JUN KWANG KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2737 3RD AVE, BRONX, NY 10451-5801
(718) 838-1092
Mailing address
14742 41ST AVE, 2FL., FLUSHING, NY 11355-1249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50051330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02813110
—
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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