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 |