Most Relevant Information
Provider Data
| NPI Number: | 1003834003 |
| Provider Name: | VIVIAN OKHEE KWON D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 43452 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2955 VAN BUREN BLVD
STE H4
RIVERSIDE
CA
925035674
Practice Location Phone/Fax
| Phone: | 9516898544 |
| Fax: | 9516892465 |
Provider Mailing Location
1469 CRESTVIEW RD
REDLANDS
CA
923746341
Provider Mailing Phone/Fax
| Phone: | 9093352913 |
| Fax: |