Jin Sang Kwon, DDS
NPI #1053473736 in Modesto, California
Provider Information
- NPI Number
- 1053473736
- Entity Type
- Individual
- Name
- Jin Sang Kwon, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2045 W BRIGGSMORE AVE
- Address 2
- SUITE E
- City
- Modesto
- State
- California
- ZIP Code
- 95350-3767
- Phone
- (209) 527-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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