Kwon Dental Group Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KWON DENTAL GROUP INC

Practice address

272 W Fairview Ave
San Gabriel, CA 91776-2943

Phone

(626) 872-6868

Fax

(626) 782-7778

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Ojin Kwon, D.D.S.

Title

President

Phone

(626) 222-0730

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1922664127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 W FAIRVIEW AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762943",
            "telephone_number": "626-872-6868",
            "fax_number": "626-782-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 W FAIRVIEW AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762943",
            "telephone_number": "626-872-6868",
            "fax_number": "626-782-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWON DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "OJIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-222-0730",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ku, D.D.S.
• Tracy Cui Qiong Kuang, RDH
• Avtar Singh Kumar, M.D.
• Jirapan Kumlue, PTA
• David Te Fu Kuo
• Maybel Kyin
• L Zhong DO, Inc
• La Heart Care Home Health, Inc.
• Sydney Sokhary Pech La Mig, DC
• Merville Ladion

• General Practice Dentistry in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.