Provider Demographics
NPI:1740343441
Name:KWON, TIMOTHY HWEEYONG (DDS)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:HWEEYONG
Last Name:KWON
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3655 LOMITA BLVD STE 415
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3976
Mailing Address - Country:US
Mailing Address - Phone:310-378-2530
Mailing Address - Fax:310-378-2532
Practice Address - Street 1:3655 LOMITA BLVD
Practice Address - Street 2:SUITE #415
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3931
Practice Address - Country:US
Practice Address - Phone:310-378-2530
Practice Address - Fax:310-378-2532
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA486261223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics