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Organization
KVILLAGE DENTAL
Active
Organization
KVILLAGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S JUNG 02201970 (PRESIDENT)
(972) 242-0005
Entity
Organization
Contact information
Practice address
1028 MAC ARTHUR DR, #100, CARROLLTON, TX 75007
(972) 242-0005
(972) 242-0009
Mailing address
1028 MAC ARTHUR DR, #100, CARROLLTON, TX 75007
(972) 242-0005
(972) 242-0009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21703
TX
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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