Kwonil Park is a General Practice in Carrollton, Texas. Kwonil Park practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kwonil Park is 1740306414. The last update date is 2011-01-11.
Kwonil Park's current location address is 1017 E Trinity Mills Rd, Carrollton, Texas. You can contact this provider via phone number 9724467733 and fax number 9724460088. The mailing address for Kwonil Park is 1017 E Trinity Mills Rd, Carrollton, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kwonil Park |
|---|---|
| Address | 1017 E Trinity Mills Rd, Carrollton, Texas |
| Phone Number | 9724467733 |
| Fax Number | 9724460088 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1740306414 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2011-01-11 |
Provider Mailing Address Detail
| Address | 1017 E Trinity Mills Rd |
|---|---|
| City | Carrollton |
| State | Texas (TX) |
| Post Code | 750061438 |
| Phone Number | 9724467733 |
| Fax Number | 9724460088 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 25071 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1005790 | IL | -- | |
| 207002108 | TX | -- |
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What is the unique identification code assigned to Kwonil Park by the Centers for Medicare & Medicaid Services?
The Kwonil Park has been issued the NPI (National Provider Identifier) 1740306414. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kwonil Park located?
The Kwonil Park is located at 1017 E Trinity Mills Rd, Carrollton, TX 750061438.
What is the Kwonil Park's specialty and taxonomy code?
The Kwonil Park's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When was the Kwonil Park's 1740306414 issued?
The Kwonil Park's 1740306414 was issued on 2007-03-22.
When was the information related to Kwonil Park most recently updated or refreshed?
The details pertaining to the Kwonil Park, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-11.
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