Organization
KWONG ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS KWONG DDS, MS (OWNER)
(269) 366-0882
Entity
Organization
Contact information
Practice address
6121 S WESTNEDGE AVE, PORTAGE, MI 49002-2882
(269) 366-0882
Mailing address
6121 S WESTNEDGE AVE, PORTAGE, MI 49002-2882
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901020356
MI
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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