Individual
ANDREW EUGENE PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2317 W UNIVERSITY DR STE 149, DENTON, TX 76201-1613
(940) 566-0127
Mailing address
12013 DRAIN DR, NEWARK, TX 76071-8948
(682) 554-1648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38130
TX
1223G0001X
General Practice Dentistry
D010719
AZ
Other
Enumeration date
06/23/2020
Last updated
04/07/2022
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