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General NPI Number Information
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NPI Number | 1417819293
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Entity Type | Organization
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Legal Business Name | BRIAN K KWON, DDS INC.
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 130 SANSOME ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-3703
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Country | US
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Telephone | 415-781-1944
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Fax |
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Provider Business Mailing Address
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Address Line | 1881 ROLLINS RD UNIT 3000
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City | BURLINGAME
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State | CA
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Zip | 94010-2221
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Country | US
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Telephone | 818-276-5456
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. BRIAN KEEJOON KWON
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Credential | DDS
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Telephone | 818-276-5456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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