Organization
CROWN DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEEJOON KWAK DDS (DENTIST)
(718) 239-6929
Entity
Organization
Contact information
Practice address
604 CASTLE HILL AVE, BRONX, NY 10473-1402
(718) 239-6929
(718) 239-8602
Mailing address
604 CASTLE HILL AVE, BRONX, NY 10473-1402
(718) 239-6929
(718) 239-8602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051024-1
NY
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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