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General NPI Number Information
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NPI Number | 1912161902
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Entity Type | Individual
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Provider Name | KEE UN KWAK D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2426 BELT LINE RD
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City | GARLAND
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State | TX
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Zip | 75044
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Country | US
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Telephone | 972-530-3898
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Fax | 972-530-6100
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Provider Business Mailing Address
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Address Line | 2813 GULF BREEZE CT
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City | PLANO
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State | TX
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Zip | 75074
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Country | US
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Telephone | 972-530-3898
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Fax | 972-530-6100
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 29966
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License Number State | TX
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