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4865 Hedgcoxe Rd Ste 100 Plano TX 75024-2406 | |
| (214) 705-2888 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4865 Hedgcoxe Rd, Plano, Texas |
| Authorized Official Name and Position | Phil Kim (OWNER) |
| Authorized Official Contact | 2147052888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4865 Hedgcoxe Rd Ste 100 Plano TX 75024-2406 Ph: (214) 705-2888 | 4865 Hedgcoxe Rd Ste 100 Plano TX 75024-2406 Ph: (214) 705-2888 |
| NPI Number | 1508287459 |
|---|---|
| Provider Enumeration Date | 12/19/2013 |
| Last Update Date | 12/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508287459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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