Kwon, Peter Tae-Jin

Kwon, Peter Tae-Jin is an individual health care provider with primary practice located at 225 Centre St , Malden MA 02148-5524. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Kwon, Peter Tae-Jin can be contacted via phone (781) 324-3200.

Contact Information

Primary practice address
225 Centre St Malden MA 02148-5524
Phone: (781) 324-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 19754 Massachusetts

Profile Details

NPI number 1326121492
LBN Legal business name Kwon, Peter Tae-Jin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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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