JINSAM KWON

PUYALLUP, WA
NPI1306981022
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  9983)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
-- JINSAM KWON
16515 MERIDIAN E SUITE 100B
PUYALLUP, WA 98375-6251
Phone number: 253-770-0198
Mailing Address
-- JINSAM KWON
16515 MERIDIAN E SUITE 100B
PUYALLUP, WA 98375-6251
Phone number: 253-770-0198