Individual
SOOCHUNG KAREN KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
525 GLEN AVE, PALISADES PARK, NJ 07650-1805
(201) 995-7070
Mailing address
525 GLEN AVE, PALISADES PARK, NJ 07650-1805
(201) 995-7070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02505400
NJ
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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