Individual
CHRISTINE HAEYOON KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
85 WESTERN AVE, SOUTH PORTLAND, ME 04106-2423
(207) 408-0479
Mailing address
85 WESTERN AVE, SOUTH PORTLAND, ME 04106-2423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4728
ME
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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