Organization
YOON K TAK DMD A PROFESSIONAL CORPORATION
Active
Other names
Grand prairieChildrens Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
YOON K TAK DMD (PRESIDENT)
(972) 522-0660
Entity
Organization
Contact information
Practice address
5115 LAKERIDGE PARKWAY, #200, GRAND PRAIRIE, TX 75052
(972) 522-0660
(972) 522-0572
Mailing address
5115 LAKERIDGE PARKWAY, #200, GRAND PRAIRIE, TX 75052
(817) 368-9170
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23670
TX
Other
Enumeration date
11/17/2008
Last updated
07/22/2009
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