Individual
BRIAN C KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2014 SANDY DR, STATE COLLEGE, PA 16803-2515
(610) 372-8406
Mailing address
2014 SANDY DR, STATE COLLEGE, PA 16803-2515
(267) 441-2060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042820
PA
Other
Enumeration date
07/23/2020
Last updated
03/08/2021
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