Oj Kwon DDS, INC

Dentist in Riverside, CA. Organization (NPI-2).

NPI number1881741429

StatusActive

Last updated in NPPESMar 31, 2017

Details

NPI: 1881741429
Entity type: Organization (NPI-2)
Legal business name: Oj Kwon DDS, INC
Organization subpart: No
Enumeration date: Jan 5, 2007
Last updated: Mar 31, 2017

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
122300000X	Dentist	46484	CA	Yes

Other names

Magnolia Dental Clinic (Doing Business As)

Practice location

9939 Magnolia Ave
Riverside, CA 92503-3528

Phone 951-588-5600 · Fax 951-588-5603

Mailing address

9939 Magnolia Ave
Riverside, CA 92503-3528

Phone 951-588-5600 · Fax 951-588-5603

Authorized official

Oh Jae Kwon
President
9515885600

Is something wrong?

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Other Dentist providers in Riverside, CA

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