Individual
DR. MARINA K. KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.D.S, D.D.S.
Contact information
Practice address
33533 W 12 MILE RD, SUITE 150, FARMINGTON HILLS, MI 48331-3354
(650) 578-8809
Mailing address
PO BOX 6833, SAN MATEO, CA 94403-6833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38863
CA
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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