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Organization
KO DENTAL GROUP, PC
Active
Organization
KO DENTAL GROUP, PC
Active
Other names
Dynamic Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA MARLIESSA CLARK (AM)
(254) 784-0508
Entity
Organization
Contact information
Practice address
302 S. AVENUE Q, CLIFTON, TX 76634
(254) 675-3518
(254) 675-1262
Mailing address
302 S. AVENUE Q, CLIFTON, TX 76634
(254) 675-3518
(254) 675-1262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
07/21/2022
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