Organization
JAE HEE KWAK DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE KWAK DMD (PRESIDENT)
(469) 449-3162
Entity
Organization
Contact information
Practice address
1631 EDINGER AVE STE 105, TUSTIN, CA 92780-6537
(714) 717-3757
Mailing address
1631 EDINGER AVE STE 105, TUSTIN, CA 92780-6537
(714) 717-3757
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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