Individual
DR. SAGE SEJONG YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6675 S CUSTER RD, MCKINNEY, TX 75070
(469) 301-3212
Mailing address
585 CHARDONNAY DR, FAIRVIEW, TX 75069-1542
(214) 892-1535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30815
TX
122300000X
Dentist
DN1856322
MA
1223P0221X
Pediatric Dentistry
Primary
30815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32386
MEDICAID - MCNA
TX
Enumeration date
07/13/2013
Last updated
04/15/2019
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