Provider Demographics
NPI:1306733654
Name:PAUL Y KWON, DDS, PLLC
Entity type:Organization
Organization Name:PAUL Y KWON, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KWON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, FAAID, DABOI/ID
Authorized Official - Phone:509-663-4709
Mailing Address - Street 1:214 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2197
Mailing Address - Country:US
Mailing Address - Phone:509-663-4709
Mailing Address - Fax:
Practice Address - Street 1:214 2ND ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2197
Practice Address - Country:US
Practice Address - Phone:509-663-4709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAUL Y KWON, DDS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental