Kwon, Henry Sang
Kwon, Henry Sang is an individual health care provider with primary practice located at 2836 W Rialto Ave # A , Rialto CA 92376-6743. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kwon, Henry Sang can be contacted via phone (909) 820-9454.Contact Information
Primary practice address
2836 W Rialto Ave # A
Rialto CA 92376-6743
Phone: (909) 820-9454
Fax: (909) 820-9482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 47505 | California |
Profile Details
| NPI number | 1982816542 |
|---|---|
| LBN Legal business name | Kwon, Henry Sang |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982816542 | NPPES |
| California | Other | 520924 | DENTI-CAL PIN # |
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