Individual
DAVID KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
610 CRYSTAL POINT DR, SUITE 4, CRYSTAL LAKE, IL 60014-1401
(815) 356-1920
Mailing address
610 CRYSTAL POINT DR, SUITE 4, CRYSTAL LAKE, IL 60014-1401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19025550
IL
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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