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Individual

DR. DARYL ANTHONY KWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
310 W OAKLAWN RD, PLEASANTON, TX 78064-4033
(830) 569-2527
(830) 569-8538
Mailing address
310 W OAKLAWN RD, PLEASANTON, TX 78064-4033
(830) 569-8940
(830) 569-8527

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27201
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27201
DENTAL LICENSE
TX
Enumeration date
07/19/2011
Last updated
11/16/2011
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