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Organization
SUSIE C. KWOK DDS INC
Active
Organization
SUSIE C. KWOK DDS INC
Active
Other names
Uptown Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSIE C. KWOK DDS (OWNER)
(619) 295-7885
Entity
Organization
Contact information
Practice address
3315 4TH AVE, SAN DIEGO, CA 92103-5703
(619) 295-7885
(619) 295-7888
Mailing address
3315 4TH AVE, SAN DIEGO, CA 92103-5703
(619) 295-7885
(619) 295-7888
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
39171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447267802
NPI INDIVIDUAL
CA
Enumeration date
02/27/2013
Last updated
02/27/2013
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