person
Tae Kwon, DDS
Student in an Organized Health Care Education/Training Program in Rochester, New York
NPI 1164821781

Tae Kwon is a Student in an Organized Health Care Education/Training Program based in Rochester, NY. Tae Kwon practices in Rochester, NY and has the professional credentials of DDS. The NPI Number for Tae Kwon is 1164821781 and holds a License No. (New York).

The current practice location address for Tae Kwon is 625 Elmwood Ave, Rochester, NY and can be reached out via phone at 585-275-5087 and via fax at 585-273-1235.

Location: 625 Elmwood Ave, Rochester, NY, 14620-2913
person
Provider Profile Details
NPI Number
1164821781
Provider Name
Tae Kwon
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
625 Elmwood Ave, Rochester, NY, 14620-2913
Phone Number
585-275-5087
Fax Number
585-273-1235
Provider Enumeration Date
08/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
625 Elmwood Ave
City
State
Zip
14620-2913
Phone Number
585-275-5087
Fax Number
585-273-1235
person
Provider Business Mailing Address Details
Address
625 Elmwood Ave
City
State
Zip
14620-2913
Phone Number
585-275-5087
Fax Number
585-273-1235
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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