# KWANGJAE YEO DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fresh Smile Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609220490
- **Authorized official:** DR. KWANGJAE YEO DDS (PRESIDENT)
- **Authorized official phone:** (469) 703-9819

## Contact information

- **Practice address:** 1894 ROYAL LN, SUITE 104, DALLAS, TX 75229-3182
- **Practice address phone:** (469) 703-9819
- **Mailing address:** 1894 ROYAL LN, SUITE 104, DALLAS, TX 75229-3182
- **Mailing address phone:** (469) 703-9819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 29206 | TX | Yes |

## Other

- **Enumeration date:** 04/18/2016
- **Last updated:** 06/22/2016