Individual provider · Type 1 NPI
Jessica Kwon
Pediatric Dentistry · San Jacinto, CA
NPI number
1043731433
Active
Practice location
1643 S San Jacinto Ave Ste A
San Jacinto, CA 92583-5181
Mailing address
421 S Ash St
Redlands, CA 92373-5859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 101510 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in San Jacinto
About NPI 1043731433
Jessica Kwon's National Provider Identifier is 1043731433, issued on Jul 6, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Jacinto, CA. The record was last updated on Jun 8, 2022.