Jae H Kwak, DMD - Dentist in Tustin, CA

Jae H Kwak, DMD is a Dentist - Pediatric Dentistry based in Tustin, California. Jae H Kwak is licensed to practice in California (license number 102524) and her current practice location is 1631 Edinger Ave Ste 105, Tustin, California. She can be reached at her office (for appointments etc.) via phone at (714) 717-3757.

NPI number for Jae H Kwak is 1033668355 and her current mailing address is 24635 Madison Ave, Murrieta, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033668355.

Contact Information

Jae H Kwak, DMD
1631 Edinger Ave Ste 105,
Tustin, CA 92780-6537
(714) 717-3757
Not Available



Healthcare Provider's Profile

Full NameJae H Kwak
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location1631 Edinger Ave Ste 105, Tustin, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033668355
  • Provider Enumeration Date: 09/28/2016
  • Last Update Date: 03/02/2023

Medical Identifiers

Medical identifiers for Jae H Kwak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033668355NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 32379 (Texas)Secondary
1223P0221XDentist - Pediatric Dentistry 102524 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jae H Kwak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jae H Kwak, DMD
24635 Madison Ave,
Murrieta, CA 92562-9751

Ph: (469) 449-3162
Jae H Kwak, DMD
1631 Edinger Ave Ste 105,
Tustin, CA 92780-6537

Ph: (714) 717-3757

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› Verified 8 days ago


Dentist in Tustin, CA

Nathan Ducthong Vu, D.D.S.
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Phone: 714-508-8500    Fax: 714-508-8011
Dr. Dave Hoaiphuong Nguyen, D.M.D
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Medicare: Not Enrolled in Medicare
Practice Location: 13400 Newport Ave Ste B, Tustin, CA 92780
Phone: 714-838-1280    Fax: 714-838-1264
Dimple Manchandia,
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Medicare: Not Enrolled in Medicare
Practice Location: 18102 Irvine Blvd, Suite 200, Tustin, CA 92780
Phone: 714-832-7220    
Dr. Victor Paul Cayabyab Valdez Jr., DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 181 El Camino Real, Suite B, Tustin, CA 92780
Phone: 714-669-9555    Fax: 714-669-9496
Dr. Jimmy Binh-phi Tran, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 18102 Irvine Blvd, Tustin, CA 92780
Phone: 714-714-0818    
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Medicare: Medicare Enrolled
Practice Location: 15160 Kensington Park Dr Ste 610, Tustin, CA 92782
Phone: 714-262-4384    

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