Individual provider · Type 1 NPI

Gae Won Kwon, DDS

Pediatric Dentistry · Las Cruces, NM

NPI number 1649689704 Active

Practice location

1901 Calle De Ninos
Las Cruces, NM 88005-3293

Mailing address

13403 Newcastle Commons Dr Apt 301
Newcastle, WA 98059-3220

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDS040063 (PA)
Pediatric Dentistry 1223P0221XDD5471 (NM)
Pediatric Dentistry Primary 1223P0221XDE.61294850 (WA)

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.

6 other providers at this address

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About NPI 1649689704

Gae Won Kwon, DDS's National Provider Identifier is 1649689704, issued on Aug 3, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Las Cruces, NM. The record was last updated on Nov 10, 2022.