Kwon, Gae Won

Kwon, Gae Won is an individual health care provider with primary practice located at 1901 Calle De Ninos , Las Cruces NM 88005-3293. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Kwon, Gae Won can be contacted via phone (575) 526-5522.

Contact Information

Primary practice address
1901 Calle De Ninos Las Cruces NM 88005-3293
Phone: (575) 526-5522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS040063 Pennsylvania
Dental Providers / Pediatric Dentistry 1223P0221X DD5471 New Mexico
Dental Providers / Pediatric Dentistry 1223P0221X DE.61294850 Washington

Profile Details

NPI number 1649689704
LBN Legal business name Kwon, Gae Won
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2014
Last updated Nov 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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