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General NPI Number Information
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NPI Number | 1699648675
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Entity Type | Organization
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Legal Business Name | KWON ENDODONTICS, APC
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 25272 MCINTYRE ST STE D
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-5449
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Country | US
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Telephone | 706-306-7975
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Fax |
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Provider Business Mailing Address
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Address Line | 60 CATTLEMAN
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City | IRVINE
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State | CA
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Zip | 92602-0305
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Country | US
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Telephone | 706-306-7975
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Fax |
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Authorized Official
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Title or Position | ENDODONTICS
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Name | IN HO KWON
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Credential | DDS
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Telephone | 706-306-7975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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