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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAE H. KWAK, D.M.D.

Active

JAE H. KWAK, D.M.D. is a Pediatric Dentistry healthcare provider located in TUSTIN, California. NPI 1033668355 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · TUSTIN, CA

Registration Details

NPI Number
1033668355
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2016 (9.9006305488771 yrs)
Last Updated
Mar 2, 2023
Licenses
32379 (TX)
102524 (CA)

Practice Information

Address
1631 EDINGER AVE STE 105
TUSTIN, CA, 927806537
Browse CA providers · Browse ZIP 92780
Phone
7147173757
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in TUSTIN, CA

Name Credential NPI
DR. MICHAEL J. MCCARTNEY D.D.S. 1770643041
DR. TRA THANH LE D.D.S. 1952466849
DR. KATHLEEN SUN LIM D.D.S. 1063547933
DR. SHIVA ROGHANI DDS 1083803183
DR. RICHARD THILL DDS 1699180612
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.