| Kwon Dentistry, Llc | |
|
1201 Se 223rd Ave Ste 260 Gresham OR 97030-2580 | |
| (503) 661-2828 | |
| (503) 618-9874 |
| Full Name | Kwon Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1201 Se 223rd Ave Ste 260, Gresham, Oregon |
| Authorized Official Name and Position | Robin Kwon (DENTIST / OWNER) |
| Authorized Official Contact | 5036612828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kwon Dentistry, Llc 1201 Se 223rd Ave Ste 260 Gresham OR 97030-2580 Ph: (503) 661-2828 | Kwon Dentistry, Llc 1201 Se 223rd Ave Ste 260 Gresham OR 97030-2580 Ph: (503) 661-2828 |
| NPI Number | 1851666903 |
|---|---|
| Provider Enumeration Date | 03/21/2012 |
| Last Update Date | 03/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851666903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Oregon) | Primary |
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