| Hyuksoo Kwon, Dds, Pc | |
|
346 Elden St Herndon VA 20170-4818 | |
| (703) 956-6995 | |
| (703) 956-6997 |
| Full Name | Hyuksoo Kwon, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 346 Elden St, Herndon, Virginia |
| Authorized Official Name and Position | Hyuksoo Kwon (PRESIDENT) |
| Authorized Official Contact | 7039566995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyuksoo Kwon, Dds, Pc 346 Elden St Herndon VA 20170-4818 Ph: (703) 956-6995 | Hyuksoo Kwon, Dds, Pc 346 Elden St Herndon VA 20170-4818 Ph: (703) 956-6995 |
| NPI Number | 1174965867 |
|---|---|
| Provider Enumeration Date | 07/23/2013 |
| Last Update Date | 07/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174965867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401412397 (Virginia) | Primary |
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