| NPI Details | |
|---|---|
| NPI | 1295090611 |
| Gender | Male |
| Enumeration Date | 07/11/2012 |
| Last Updated | 07/11/2012 |
| Entity Type | Individual |
| Active | Over 5 years ago |
| Practice Location | |
|---|---|
| 20 CARE DR SUITE D HILLSDALE MI, 49242-5052, US |
|
| Phone | (517) 437-2654 |
| Fax | |
| Business Location | |
|---|---|
| 1 WATER ST SUITE 200 BOYNE CITY MI, 49712-1810, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1223G0001X |
| License State | Michigan |
| License Number | 2901020511 |
| Remove 1295090611 NPI Number | |
According to our database, Edwin Kwon D.D.S. NPI is 1295090611, taxonomy code is 1223G0001X and license number is 2901020511, license state is located at Michigan. Edwin Kwon D.D.S. physically located at 20 Care Dr, Hillsdale MI, 49242-5052. NPI Number Edwin Kwon D.D.S. has the Individual type.
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1295090611 NPI number is provided on an as is basis without warranty of any kind. 1295090611 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin Kwon D.D.S. are for informational purposes only.
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