Individual
DR. KYONG-WON KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
200 LINCOLN ST, WORCESTER, MA 01605-2528
(508) 756-6264
Mailing address
80 HOPE AVE APT 518, WALTHAM, MA 02453-2747
(508) 756-6264
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13804
MD
Other
Enumeration date
11/01/2006
Last updated
12/10/2007
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