J & KWAK COMPANY LLC NPI 1740690445

NPI Information

NPI: 1740690445
Provider Name: J & KWAK COMPANY, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1790 RANDALL AVE
BRONX, NY
ZIP 10473
Phone: (347) 634-0224
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J & KWAK COMPANY, LLC is a dental clinic center in Bronx, NY. J & KWAK COMPANY, LLC NPI is 1740690445. The provider is registered as an organization entity type.

The provider's business location address is:

1790 RANDALL AVE
BRONX, NY
ZIP 10473-629
Phone: (347) 634-0224
Fax: (718) 991-2662

The provider's authorized official is Tj Lee .
The authorized official title is Office Manager and has the following contact phone number (347) 634-0224.

The enumeration date for this NPI number is 5/2/2014 and was last updated on 5/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	051024	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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