IndividualActive
Abby Kwak, DDS
NPI 1639759863 · Dentist · Glendale, WI
Provider details
- NPI number
- 1639759863
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 1002581-15 (WI)
Specialties & taxonomies
Dental Providers
Practice location
5150 N Port Washington Rd Ste 201
Glendale, WI 53217-5400
Phone: (414) 964-8850
Approximate (ZIP-level) locationGet directions
Mailing address
5150 N Port Washington Rd Ste 201
Glendale, WI 53217-5400
Registry dates
- Enumerated
- 2021-04-12
- Last updated
- 2024-03-08
- Certified
- 2024-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.