Individual
DR. MIN SU KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
339 MAIN ST, SACO, ME 04072-1514
(207) 284-6809
Mailing address
339 MAIN ST, SACO, ME 04072-1514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4738
ME
Other
Enumeration date
07/08/2019
Last updated
09/07/2019
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