| Kobawoo Dental Center | |
|
1222 Welsh Rd Suite G North Wales PA 19454-2054 | |
| (215) 362-3000 | |
| (267) 263-1499 |
| Full Name | Kobawoo Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1222 Welsh Rd, North Wales, Pennsylvania |
| Authorized Official Name and Position | He-kyung Kim-yu (DENTIST) |
| Authorized Official Contact | 2153623000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kobawoo Dental Center 1222 Welsh Rd Suite G North Wales PA 19454-2054 Ph: (215) 362-3000 | Kobawoo Dental Center 1222 Welsh Rd Suite G North Wales PA 19454-2054 Ph: (215) 362-3000 |
| NPI Number | 1326400748 |
|---|---|
| Provider Enumeration Date | 03/24/2016 |
| Last Update Date | 03/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326400748 | NPI | - | NPPES |
| 1026469620001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS026455L (Pennsylvania) | Primary |
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