Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jin Woo Pak

Individual provider General Practice Dentistry · NPI 1508311457

Jin Woo Pak is a General Practice Dentistry in Fort Irwin, California. Licensed in Utah. Registered with an NPI since 2016.

Licensed in
UT
In the registry since
2016

Practice location Address checks out

171 Inner Loop Rd
Fort Irwin, CA 92310
Phone: (760) 380-3166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9829781-9921 (UT)

Record details

NPI number1508311457
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 22, 2016
Last updated in NPPESJune 29, 2023
Certification dateJune 16, 2023
Mailing address171 Inner Loop Road, Fort Irwin, CA 92310

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