| Tae Woo Kwon, DDS, Inc | |
|
3400 Mccall Ave Ste 118 Selma CA 93662-2560 | |
| (559) 896-1795 | |
| Not Available |
| Full Name | Tae Woo Kwon, DDS, Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3400 Mccall Ave Ste 118, Selma, California |
| Authorized Official Name and Position | Tae Woo Kwon (PRESIDENT) |
| Authorized Official Contact | 3108900816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tae Woo Kwon, DDS, Inc 7429 N 1st St Ste 101 Fresno CA 93720-2852 Ph: (559) 448-9870 | Tae Woo Kwon, DDS, Inc 3400 Mccall Ave Ste 118 Selma CA 93662-2560 Ph: (559) 896-1795 |
| NPI Number | 1730802752 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730802752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
Gill Dental, Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 Rose Ave Ste 1, Selma, CA 93662 Phone: 559-896-0323 Fax: 559-896-9251 |
Dennis L Tin Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2827 Whitson, Selma, CA 93662 Phone: 559-891-0888 Fax: 559-891-8546 |
Shawn P. Rusk D.D.S., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Mccall Ave, Suite 104, Selma, CA 93662 Phone: 559-896-2445 Fax: 559-896-3259 |
Jose Ricardo Gonzalez, D.D.S. a Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2775 Highland Ave Ste 103, Selma, CA 93662 Phone: 559-225-3391 Fax: 559-225-1601 |
G. Glenn Rusk D.D.S., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Mccall Ave, Suite 104, Selma, CA 93662 Phone: 559-896-2445 Fax: 559-896-3259 |
Deepli Malla DDS Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2059 High St, Selma, CA 93662 Phone: 559-896-8888 |