Provider Demographics
NPI:1699482067
Name:HYUN KWON DDS PLLC
Entity type:Organization
Organization Name:HYUN KWON DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KWON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-829-0627
Mailing Address - Street 1:18204 BOTHELL EVERETT HWY STE E
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-6869
Mailing Address - Country:US
Mailing Address - Phone:425-806-0077
Mailing Address - Fax:425-806-0075
Practice Address - Street 1:18204 BOTHELL EVERETT HWY STE E
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-6869
Practice Address - Country:US
Practice Address - Phone:425-806-0077
Practice Address - Fax:425-806-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty