# KENPAN HU DMD PA

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

## Provider details

- **NPI number:** 1396118337
- **Authorized official:** KENPAN HU (PRESIDENT)
- **Authorized official phone:** (617) 319-7110

## Contact information

- **Practice address:** 2426 S CARRIER PKWY, SUITE 100, GRAND PRAIRIE, TX 75051-3805
- **Practice address phone:** (972) 641-2994
- **Mailing address:** 2426 S CARRIER PKWY, SUITE 100, GRAND PRAIRIE, TX 75051-3805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 27439 | TX | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 25977 | TX | — |

## Other

- **Enumeration date:** 11/12/2015
- **Last updated:** 11/12/2015