J & Kwak Company, Llc | |
1790 Randall Ave Bronx NY 10473-3629 | |
(347) 634-0224 | |
(718) 991-2662 |
Full Name | J & Kwak Company, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1790 Randall Ave, Bronx, New York |
Authorized Official Name and Position | Tj Lee (OFFICE MANAGER) |
Authorized Official Contact | 3476340224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
J & Kwak Company, Llc 1790 Randall Ave Bronx NY 10473-3629 Ph: (347) 634-0224 | J & Kwak Company, Llc 1790 Randall Ave Bronx NY 10473-3629 Ph: (347) 634-0224 |
NPI Number | 1740690445 |
---|---|
Provider Enumeration Date | 05/02/2014 |
Last Update Date | 05/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740690445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 051024 (New York) | Primary |
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