Vivian Kwon D.d.s. | |
2955 Van Buren Blvd Suite H4 Riverside CA 92503-5674 | |
(951) 689-8544 | |
(951) 689-2465 |
Full Name | Vivian Kwon D.d.s. |
---|---|
Speciality | Dentist - General Practice |
Location | 2955 Van Buren Blvd, Riverside, California |
Authorized Official Name and Position | Vivian Kwon (OWNER/DENTIST) |
Authorized Official Contact | 9516898544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vivian Kwon D.d.s. 2955 Van Buren Blvd Suite H4 Riverside CA 92503-5674 Ph: (951) 689-8544 | Vivian Kwon D.d.s. 2955 Van Buren Blvd Suite H4 Riverside CA 92503-5674 Ph: (951) 689-8544 |
NPI Number | 1336510528 |
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Provider Enumeration Date | 10/13/2015 |
Last Update Date | 10/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336510528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | CA43452 (California) | Primary |
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