Jinsam Kwon
NPI #1306981022 in Puyallup, Washington
Provider Information
- NPI Number
- 1306981022
- Entity Type
- Individual
- Name
- Jinsam Kwon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 16515 MERIDIAN E
- Address 2
- SUITE 100B
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98375-6251
- Phone
- (253) 770-0198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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