# I TOWN MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124568928
- **Authorized official:** ELIZABETH KWON DDS (OWNER)
- **Authorized official phone:** (972) 407-9401

## Contact information

- **Practice address:** 2974 LBJ FWY STE 301, DALLAS, TX 75234-7667
- **Practice address phone:** (972) 407-9401
- **Practice address fax:** (844) 256-5202
- **Mailing address:** 2974 LBJ FWY STE 301, DALLAS, TX 75234-7667
- **Mailing address phone:** (972) 407-9401
- **Mailing address fax:** (844) 256-5202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 16359 | TX | Yes |

## Other

- **Enumeration date:** 02/28/2017
- **Last updated:** 02/28/2017