# KENPAN HU DDS

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

## Provider details

- **NPI number:** 1134560279
- **Authorized official:** KENPAN HU DMD (DENTIST)
- **Authorized official phone:** (617) 319-7110

## Contact information

- **Practice address:** 310 E MAIN ST, STE 102, RICHARDSON, TX 75081-6060
- **Practice address phone:** (972) 479-9304
- **Mailing address:** 310 E MAIN ST, STE 102, RICHARDSON, TX 75081-6060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 27439 | TX | Yes |

## Other

- **Enumeration date:** 07/16/2013
- **Last updated:** 07/16/2013