| Soon C Kwon Dds Inc | |
|
1414 South Miller St Suite S Santa Maria CA 93454 | |
| (805) 925-6229 | |
| (805) 347-9209 |
| Full Name | Soon C Kwon Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1414 South Miller St, Santa Maria, California |
| Authorized Official Name and Position | Soon Cheol Kwon (PRESIDENT) |
| Authorized Official Contact | 8059256229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soon C Kwon Dds Inc 1414 South Miller St Suite S Santa Maria CA 93454 Ph: (805) 925-6229 | Soon C Kwon Dds Inc 1414 South Miller St Suite S Santa Maria CA 93454 Ph: (805) 925-6229 |
| NPI Number | 1992872469 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992872469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 25566 (California) | Primary |
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