Organization
DR KWAK YONSEI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYOUNG WHAN KWAK D.D.S. (CEO)
(323) 731-0707
Entity
Organization
Contact information
Practice address
981 S WESTERN AVE STE 200A, LOS ANGELES, CA 90006-1080
(323) 731-0707
Mailing address
981 S WESTERN AVE STE 200A, LOS ANGELES, CA 90006-1080
(323) 731-0707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56261
CA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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