ETHAN KWANGWON KONG

JERSEY CITY, NJ
NPI1669080958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  12833)
Enumeration Date2020-07-22
Last Update Date2020-07-22
Business Address
ETHAN KWANGWON KONG DDS
2935 JOHN F KENNEDY BLVD APT 713
JERSEY CITY, NJ 07306-3882
Phone number: 585-738-5621
Mailing Address
ETHAN KWANGWON KONG DDS
2935 JOHN F KENNEDY BLVD APT 713
JERSEY CITY, NJ 07306-3882
Phone number: 585-738-5621
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