Provider Demographics
NPI:1801398201
Name:KIWON YOUN DDS INC
Entity Type:Organization
Organization Name:KIWON YOUN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIWON
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-964-2875
Mailing Address - Street 1:18250 COLIMA RD STE 201
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2618
Mailing Address - Country:US
Mailing Address - Phone:626-964-2875
Mailing Address - Fax:626-964-1033
Practice Address - Street 1:18250 COLIMA RD STE 201
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2618
Practice Address - Country:US
Practice Address - Phone:626-964-2875
Practice Address - Fax:626-964-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental