| NPI | 1902346612 | 
|---|---|
| Other Name | JINNY KWAK | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DDS100148)  | 
| Enumeration Date | 2017-02-28 | 
| Last Update Date | 2022-03-24 |