Organization
I TOWN MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KWON DDS (OWNER)
(972) 407-9401
Entity
Organization
Contact information
Practice address
2974 LBJ FWY STE 301, DALLAS, TX 75234-7667
(972) 407-9401
(844) 256-5202
Mailing address
2974 LBJ FWY STE 301, DALLAS, TX 75234-7667
(972) 407-9401
(844) 256-5202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16359
TX
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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