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Provider Information for 1215348784



DR. HODONG KWON D.D.S

Gender: MALE

Individual NPI: 1215348784

Calendar Last Updated: 2014-05-18

Details

Name Value
NPI 1215348784
Enumeration Date 2014-05-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4 KEPH DR APT 6
AMHERST, NY 14228-3255
United States

Phone: 716-235-0280 | Fax:
View Map External Link
Primary Practice Address 4 KEPH DR APT 6
AMHERST, NY 14228-3255
United States

Phone: 716-235-0280 | Fax:
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist TX 29824
Other Identifiers
Issuer State Number