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Organization
KWANGJAE YEO DDS PLLC
Active
Organization
KWANGJAE YEO DDS PLLC
Active
Other names
Fresh Smile Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWANGJAE YEO DDS (PRESIDENT)
(469) 703-9819
Entity
Organization
Contact information
Practice address
1894 ROYAL LN, SUITE 104, DALLAS, TX 75229-3182
(469) 703-9819
Mailing address
1894 ROYAL LN, SUITE 104, DALLAS, TX 75229-3182
(469) 703-9819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29206
TX
Other
Enumeration date
04/18/2016
Last updated
06/22/2016
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