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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