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
Phone: (361) 573-3841
Fax: (361) 573-1930
Website:
Health care specialties
Specialty | Code | License # | 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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