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Organization
V & K STRAWBERRY DENTAL
Active
Organization
V & K STRAWBERRY DENTAL
Active
Other names
Stella Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE-HYUCK KWAK D.D.S. (DENTIST / OWNER OF THE PRACTICE)
(713) 943-9993
Entity
Organization
Contact information
Practice address
2515 STRAWBERRY RD, PASADENA, TX 77502-5101
(713) 943-9993
(832) 201-7478
Mailing address
2515 STRAWBERRY RD, PASADENA, TX 77502-5101
(713) 943-9993
(832) 201-7478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982875118
TYPE I NPI
TX
Enumeration date
06/05/2013
Last updated
09/02/2016
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