Individual
DR. MIN GYU KWAK
Active
Individual
DR. MIN GYU KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
062915
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062915
NEW YORK STATE DENTAL LICENSE
NY
Enumeration date
11/28/2022
Last updated
02/12/2026
Update your record
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