Jinsam Kwon
Jinsam Kwon is a General Practice Dentistry in Puyallup, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2007
Practice location Address checks out
16515 Meridian E Ste 100BPuyallup, WA 98375-6251
Phone: (253) 770-0198
Fax: (253) 770-1166
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 9983 (WA) |
|---|
Record details
| NPI number | 1306981022 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 16515 Meridian E, Suite 100b, Puyallup, WA 98375-6251 |
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