Kwak Dental Management, Pllc

NPI #1417129974 in Bronx, New York

Provider Information

NPI Number: 1417129974
Entity Type: Organization
Organization Name: Kwak Dental Management, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 25, 2008
Last Updated: Mar 25, 2008

Practice Location

Address: 638 EAST 169TH STREET
Address 2: 2ND FLOOR
City: Bronx
State: New York
ZIP Code: 10456
Phone: (718) 991-8668

Authorized Official

Name: DR. HEE JOON KWAK
Title: OWNER
Phone: (718) 991-8668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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