Organization
ACCENT SMILE DENTAL CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE-HYUCK KWAK (PRESIDENT)
(832) 566-3553
Entity
Organization
Contact information
Practice address
212 AMBERGLOW CT, VICTORIA, TX 77904-3863
(832) 566-3553
Mailing address
212 AMBERGLOW CT, VICTORIA, TX 77904-3863
(832) 566-3553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2802845
—
TX
Enumeration date
10/30/2019
Last updated
04/18/2020
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