Individual
JAIMIE KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
945 ELLIOTT AVE W, SUITE 212, SEATTLE, WA 98119-3645
(206) 812-7957
Mailing address
945 ELLIOTT AVE W, SUITE 212, SEATTLE, WA 98119-3645
(206) 812-7957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60672810
WA
Other
Enumeration date
07/29/2016
Last updated
02/15/2017
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