Individual
MIN KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3867 UNION DEPOSIT RD, HARRISBURG, PA 17109-5920
(717) 558-0042
Mailing address
3867 UNION DEPOSIT RD, HARRISBURG, PA 17109-5920
(717) 558-0042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043827
PA
Other
Enumeration date
06/07/2022
Last updated
08/08/2022
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