Individual
MRS. ANN EUN BOK YI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1401 JUPITER RD, #103, PLANO, TX 75074
(469) 241-0350
(469) 241-0520
Mailing address
1401 JUPITER RD, #103, PLANO, TX 75074
(469) 241-0350
(469) 241-0520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B19476-01
DELTA DENTAL TEXAS CHIP
TX
Enumeration date
10/03/2006
Last updated
07/08/2007
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