SearchTexas1223G0001X

Jenise Kwak, DMD

NPI 1417478223 · on the registry since 2017 · sole proprietor

Practice

Address
2800 S Interstate 35 Ste 500
Austin, TX 78681
Phone
(512) 726-0440
Clinicians at this address
4

Additional practice sites

  • 3043 Main St # A, Glastonbury, CT
  • 434 N Main St, East Longmeadow, MA

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas