Organization
JIN HEE KWAK DDS INC
Active
Other names
ClearWave Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN HEE KWAK DDS, MS (CEO)
(310) 601-0975
Entity
Organization
Contact information
Practice address
3640 LOMITA BLVD STE 202, TORRANCE, CA 90505-3982
(424) 257-5118
Mailing address
3640 LOMITA BLVD STE 202, TORRANCE, CA 90505-3982
(424) 257-5118
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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