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General NPI Number Information
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NPI Number | 1740343441
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Entity Type | Individual
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Provider Name | TIMOTHY HWEEYONG KWON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 3655 LOMITA BLVD SUITE #415
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City | TORRANCE
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State | CA
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Zip | 90505-3931
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Country | US
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Telephone | 310-378-2530
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Fax | 310-378-2532
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Provider Business Mailing Address
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Address Line | 3655 LOMITA BLVD STE 415
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City | TORRANCE
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State | CA
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Zip | 90505-3976
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Country | US
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Telephone | 310-378-2530
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Fax | 310-378-2532
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 48626
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License Number State | CA
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