J.b. Gwak, Dds, Pllc

NPI #1083184790 in Snohomish, Washington

Provider Information

NPI Number: 1083184790
Entity Type: Organization
Organization Name: J.b. Gwak, Dds, Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 26, 2018
Last Updated: Nov 26, 2018

Practice Location

Address: 306 MAPLE AVE
City: Snohomish
State: Washington
ZIP Code: 98290-2526
Phone: (310) 890-6457

Authorized Official

Name: DR. JI WON GWAK, DDS
Title: DOCTOR/OWNER
Phone: (310) 890-6457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist	122300000X	Primary

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