ETHAN KWANGWON KONG

NEW HAVEN, CT
NPI1669080958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-07-22
Last Update Date2024-06-03
Business Address
ETHAN KWANGWON KONG DDS
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
Mailing Address
ETHAN KWANGWON KONG DDS
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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