Individual
MRS. JACQUELINE ANN KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6050 LONG PRAIRIE RD, SUITE 100, FLOWER MOUND, TX 75028-2294
(972) 316-6320
Mailing address
2671 CREEKSIDE WAY, HIGHLAND VILLAGE, TX 75077-8622
(214) 636-7045
(214) 636-7045
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12188
TX
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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