Jae H. Kwak
Dentist Pediatric Dentist
24635 Madison Ave Ste E
Murrieta
, California 92562-7556
Jae H. Kwak
Dentist Pediatric Dentist
24635 Madison Ave Ste E
Murrieta
, California 92562-7556
(469) 449-3162
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About
Features
Specialties
- Dentist
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Jae H. Kwak
- 24635 Madison Ave
- Murrieta, CA
- Zip : 92562-9751
- Phone : (469) 449-3162
Second Address
- Jae H. Kwak
- 24635 Madison Ave Ste E
- Murrieta, CA
- Zip : 92562-7556
- Phone : (951) 600-1062
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What type of doctor is Jae H. Kwak
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Is Jae H. Kwak a sole practitioner?
Is Jae H. Kwak accepting new patients?
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Does Jae H. Kwak offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 32379 | TX |
| Y | 1223P0221X | Pediatric Dentist | 102524 | CA |
National Provider Identifier
| NPI | 1033668355 |
|---|---|
| Provider Name | Jae H. Kwak |
| First Address | Murrieta, CA 92562-9751 |
| Second Address | Murrieta, CA 92562-7556 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2016 |
| Last Update Date | 26/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.