JAE KWON

GLENDALE, CA
NPI1194908731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  56656)
Enumeration Date2007-12-05
Last Update Date2011-07-06
Business Address
Dr. JAE KWON D.M.D.
1528 BEN LOMOND DR
GLENDALE, CA 91202-1248
Phone number: 617-645-2113
Mailing Address
Dr. JAE KWON D.M.D.
1528 BEN LOMOND DR
GLENDALE, CA 91202-1248
Phone number: 617-645-2113