Individual
DR. YOON K TAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5115 LAKERIDGE PARKWAY, #200, GRAND PRAIRIE, TX 75052
(972) 522-0660
(972) 522-0572
Mailing address
5115 LAKE RIDGE PKWY # 200, GRAND PRAIRIE, TX 75052-3098
(972) 522-0660
(972) 522-0572
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23670
TX
Other
Enumeration date
02/01/2007
Last updated
07/02/2009
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