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General NPI Number Information
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NPI Number | 1073471710
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Entity Type | Organization
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Legal Business Name | PATRICK KWONG P.S.
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 428 W BIRCH ST
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City | SHELTON
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State | WA
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Zip | 98584-1735
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Country | US
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Telephone | 360-426-2631
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Fax | 360-426-0483
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Provider Business Mailing Address
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Address Line | PO BOX 788
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City | SHELTON
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State | WA
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Zip | 98584-0788
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Country | US
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Telephone | 360-426-2631
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Fax | 360-426-0483
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Authorized Official
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Title or Position | OWNER
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Name | MR. PATRICK KWONG
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Credential | DDS
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Telephone | 360-426-2631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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