Organization
TAE WOO KWON, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAE WOO KWON (PRESIDENT)
(310) 890-0816
Entity
Organization
Contact information
Practice address
3400 MCCALL AVE STE 118, SELMA, CA 93662-2560
(559) 896-1795
Mailing address
7429 N 1ST ST STE 101, FRESNO, CA 93720-2852
(559) 448-9870
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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