IndividualActive
Gae Won Kwon, DDS
NPI 1649689704 · Pediatric Dentistry · Las Cruces, NM
Provider details
- NPI number
- 1649689704
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DS040063 (PA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
1901 Calle De Ninos
Las Cruces, NM 88005-3293
Phone: (575) 526-5522
Approximate (ZIP-level) locationGet directions
Mailing address
13403 Newcastle Commons Dr Apt 301
Newcastle, WA 98059-3220
Registry dates
- Enumerated
- 2014-08-03
- Last updated
- 2022-11-10
- Certified
- 2022-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.