Doctor Name: | DR. SUNGHEE KWAK |
NPI Number: | 1194029546 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.D.S |
License Number: | 22DI02064000 |
Business Practice Address: | 7 Sylvan Avenue Englewood Cliffs, PR - 076322413 |
Business Phone Number: | 2013020700 |
Business Fax Number: | 2013029857 |
Mailing Address: | 7 Sylvan Avenue, ENGLEWOOD CLIFFS |
State: | NJ |
Postal Code: | 076322413 |
Phone Number: | 2013020700 |
Fax Number: | 2013029857 |
NPI Enumeration Date: | 12/28/2010 |
NPI Last Update Date: | 12/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 22DI02064000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | 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. |