Provider Demographics
NPI:1669956769
Name:KWON, WILLIAM MYUNG (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MYUNG
Last Name:KWON
Suffix:
Gender:M
Credentials:DDS, MD
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Mailing Address - Street 1:21072 SPURNEY LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-7214
Mailing Address - Country:US
Mailing Address - Phone:929-888-0397
Mailing Address - Fax:
Practice Address - Street 1:9010 BOLSA AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5531
Practice Address - Country:US
Practice Address - Phone:929-888-0397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-24
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1058531223S0112X, 1223S0112X
CA6002208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery