Kwak, Jae-Hyuck

Kwak, Jae-Hyuck is an sole proprietor health care provider with primary practice located at 104 Professional Park Dr , Victoria TX 77904-2351. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Kwak, Jae-Hyuck can be contacted via phone (361) 573-3841.

Contact Information

Primary practice address
104 Professional Park Dr Victoria TX 77904-2351
Fax: (361) 573-1930
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 23724 Texas
Dental Providers / General Practice 1223G0001X 23724 Texas

Profile Details

NPI number 1982875118
LBN Legal business name Kwak, Jae-Hyuck
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2008
Last updated May 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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