Individual provider · Type 1 NPI

Jinsam Kwon

General Practice Dentistry · Puyallup, WA

NPI number 1306981022 Active

Practice location

16515 Meridian E, Suite 100B
Puyallup, WA 98375-6251

Fax (253) 770-1166

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X9983 (WA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1306981022

Jinsam Kwon's National Provider Identifier is 1306981022, issued on Feb 20, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Puyallup, WA. The record was last updated on Jul 8, 2007.