Kwon Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

46484 Issued in CA

Legal business name

KWON DENTAL CORPORATION

Doing business as

Alessandro Dental Clinic

Practice address

13925 Indian St
Moreno Valley, CA 92553-5718

Phone

(951) 322-4060

Fax

(951) 322-4061

NPI assigned

Nov 19, 2012

Last updated

Jul 9, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Oh Jae Kwon, DDS

Title

President

Phone

(951) 322-4060

Specialties & licenses 1

Addresses

Other names 1

• Alessandro Dental Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1720322449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13925 INDIAN ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535718",
            "telephone_number": "951-322-4060",
            "fax_number": "951-322-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 INDIAN ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535718",
            "telephone_number": "951-322-4060",
            "fax_number": "951-322-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "OH JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-322-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alessandro Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anastasia Kunac, M.D.
• Benjamin Kuo, M.D.
• Christina Sophia Kuo, MMS, PA-C
• Roy Gitau Kuria
• Shyla Sarmiento Kuria, REGISTERED NURSE
• Chang Hun Kwon
• Sue Min Sophia Kwon, MD
• Tammie Kwong, DO, MPH
• Anita Renee Kyles
• E Kyu, DDS

• Dentist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.