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Individual

DR. JOHN HYUKBUM KWON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4300 SPRUCE ST APT B303, PHILADELPHIA, PA 19104-4727
(818) 825-2782
Mailing address
4300 SPRUCE ST APT B303, PHILADELPHIA, PA 19104-4727
(818) 825-2782

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039925
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/19/2013
Last updated
08/22/2014
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