Eunhae Park Kwon, Dds, Inc | |
1300 University Dr Ste 8 Menlo Park CA 94025-4254 | |
(650) 323-0264 | |
Not Available |
Full Name | Eunhae Park Kwon, Dds, Inc |
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Speciality | Clinic/center - Dental |
Location | 1300 University Dr Ste 8, Menlo Park, California |
Authorized Official Name and Position | Eunhae Kwon (CEO) |
Authorized Official Contact | 6503230264 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eunhae Park Kwon, Dds, Inc 1300 University Dr Ste 8 Menlo Park CA 94025-4254 Ph: (650) 323-0264 | Eunhae Park Kwon, Dds, Inc 1300 University Dr Ste 8 Menlo Park CA 94025-4254 Ph: (650) 323-0264 |
NPI Number | 1144819509 |
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Provider Enumeration Date | 01/11/2021 |
Last Update Date | 01/11/2021 |
Identifier | Type | State | Issuer |
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1144819509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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