| Pure Smile Dental, Pa | |
|
280 Legacy Drive Suite 105 Plano TX 75023 | |
| (469) 441-0822 | |
| Not Available |
| Full Name | Pure Smile Dental, Pa |
|---|---|
| Speciality | Dentist |
| Location | 280 Legacy Drive, Plano, Texas |
| Authorized Official Name and Position | Hee Choung Kang (DENTIST) |
| Authorized Official Contact | 4694410822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Smile Dental, Pa Po Box 260016 Plano TX 75026-0016 Ph: (469) 441-0822 | Pure Smile Dental, Pa 280 Legacy Drive Suite 105 Plano TX 75023 Ph: (469) 441-0822 |
| NPI Number | 1184951410 |
|---|---|
| Provider Enumeration Date | 11/06/2009 |
| Last Update Date | 11/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184951410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23299 (Texas) | Primary |
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