Kong, Ethan Kwangwon

Kong, Ethan Kwangwon is an sole proprietor health care provider with primary practice located at 3020 S Miami Blvd Ste B , Durham NC 27703-0965. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Kong, Ethan Kwangwon can be contacted via phone (919) 246-3350.

Contact Information

Primary practice address
3020 S Miami Blvd Ste B Durham NC 27703-0965
Phone: (919) 246-3350
Fax: (919) 294-9628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 14757 North Carolina

Profile Details

NPI number 1669080958
LBN Legal business name Kong, Ethan Kwangwon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2020
Last updated Jun 5th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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