Kee Un Kwak is a Pediatric Dentistry in Plano, Texas. Kee Un Kwak practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kee Un Kwak is 1912161902. The last update date is 2014-09-26.
Kee Un Kwak's current location address is 2813 Gulf Breeze Ct, Plano, Texas. You can contact this provider via phone number 9725303898 and fax number 9725306100. The mailing address for Kee Un Kwak is 2813 Gulf Breeze Ct, Plano, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kee Un Kwak |
|---|---|
| Address | 2813 Gulf Breeze Ct, Plano, Texas |
| Phone Number | 9725303898 |
| Fax Number | 9725306100 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1912161902 |
|---|---|
| Provider Enumeration Date | 2008-07-18 |
| Last Updated Date | 2014-09-26 |
Provider Mailing Address Detail
| Address | 2813 Gulf Breeze Ct |
|---|---|
| City | Plano |
| State | Texas (TX) |
| Post Code | 75074 |
| Phone Number | 9725303898 |
| Fax Number | 9725306100 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 50053909 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identification code issued to Kee Un Kwak by the Centers for Medicare & Medicaid Services?
The Kee Un Kwak has been assigned the NPI (National Provider Identifier) 1912161902 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kee Un Kwak?
The Kee Un Kwak is physically situated at 2813 Gulf Breeze Ct, in the city of Plano, state of TX, with the postal code 75074.
What is Kee Un Kwak's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kee Un Kwak is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date was the 1912161902 assigned to Kee Un Kwak?
The Kee Un Kwak was issued its 1912161902 on 2008-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Kee Un Kwak's information last updated?
The Kee Un Kwak's information was last updated on 2014-09-26.
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