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Organization
KENPAN HU DMD PA
Active
Organization
KENPAN HU DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENPAN HU (PRESIDENT)
(617) 319-7110
Entity
Organization
Contact information
Practice address
2426 S CARRIER PKWY, SUITE 100, GRAND PRAIRIE, TX 75051-3805
(972) 641-2994
Mailing address
2426 S CARRIER PKWY, SUITE 100, GRAND PRAIRIE, TX 75051-3805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27439
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
25977
TX
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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