# SUSIE C. KWOK DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Uptown Dental Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528308517
- **Authorized official:** DR. SUSIE C. KWOK DDS (OWNER)
- **Authorized official phone:** (619) 295-7885

## Contact information

- **Practice address:** 3315 4TH AVE, SAN DIEGO, CA 92103-5703
- **Practice address phone:** (619) 295-7885
- **Practice address fax:** (619) 295-7888
- **Mailing address:** 3315 4TH AVE, SAN DIEGO, CA 92103-5703
- **Mailing address phone:** (619) 295-7885
- **Mailing address fax:** (619) 295-7888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | 39171 | CA | Yes |

## Other

- **Enumeration date:** 02/27/2013
- **Last updated:** 02/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1447267802 | NPI INDIVIDUAL | CA |