Sunset Dental Professional

NPI #1104125855 in West Covina, California

Provider Information

NPI Number: 1104125855
Entity Type: Organization
Organization Name: Sunset Dental Professional
Primary Specialty: Dentist
Enumeration Date: Mar 21, 2011
Last Updated: Mar 21, 2011

Practice Location

Address: 1042 W WEST COVINA PKWY
City: West Covina
State: California
ZIP Code: 91790-2810
Phone: (626) 960-2766

Authorized Official

Name: DR. ANDREW WOOSUNG KWON, DDS
Title: DENTIST
Phone: (626) 960-2766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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