Organization
JEREMY KWON & ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY M.C. KWON (DDS)
(574) 247-2521
Entity
Organization
Contact information
Practice address
6910 N MAIN ST, BUILDING 6B UNIT 46, GRANGER, IN 46530-9680
(574) 247-2521
Mailing address
6910 NORTH MAIN STREET, BUILDING 6B UNIT 46, GRANGER, IN 46530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011206A
IN
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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