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Individual
SOFIA KWAK
Active
Individual
SOFIA KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
060802
NY
1223G0001X
General Practice Dentistry
22DI02767500
NJ
1223G0001X
General Practice Dentistry
Primary
37966
TX
Other
Enumeration date
04/11/2018
Last updated
04/23/2024
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