Organization
AY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY YOON DDS (OWNER)
(979) 233-1581
Entity
Organization
Contact information
Practice address
1723 N AVENUE K, FREEPORT, TX 77541-3605
(979) 233-1581
Mailing address
1723 N AVENUE K, FREEPORT, TX 77541-3605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20948
TX
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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