Organization
KWANGJAE YEO DDS PLLC
Active
Other names
Fresh Smile Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWANGJAE YEO DDS (PRESIDENT)
(469) 703-9819
Entity
Organization
Contact information
Practice address
1894 ROYAL LN, SUITE 104, DALLAS, TX 75229-3182
(469) 703-9819
Mailing address
1894 ROYAL LN, SUITE 104, DALLAS, TX 75229-3182
(469) 703-9819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29206
TX
Other
Enumeration date
04/18/2016
Last updated
06/22/2016
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