Individual provider · Type 1 NPI

Jae H. Kwak, DMD

Pediatric Dentistry · Tustin, CA

NPI number 1033668355 Active

Practice location

1631 Edinger Ave Ste 105
Tustin, CA 92780-6537

Call (714) 717-3757 Map

Mailing address

24635 Madison Ave
Murrieta, CA 92562-9751

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X32379 (TX)
Pediatric Dentistry Primary 1223P0221X102524 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1033668355

Jae H. Kwak, DMD's National Provider Identifier is 1033668355, issued on Sep 28, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tustin, CA. The record was last updated on Mar 2, 2023.