Kwak, Jae H.

Kwak, Jae H. is an individual health care provider with primary practice located at 1631 Edinger Ave Ste 105 , Tustin CA 92780-6537. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Kwak, Jae H. can be contacted via phone (714) 717-3757.

Contact Information

Primary practice address
1631 Edinger Ave Ste 105 Tustin CA 92780-6537
Phone: (714) 717-3757
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 32379 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 102524 California

Profile Details

NPI number 1033668355
LBN Legal business name Kwak, Jae H.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2016
Last updated Mar 2nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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