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General NPI Number Information
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NPI Number | 1982190732
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Entity Type | Organization
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Legal Business Name | HKDDS PLLC
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 07/05/2018
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Provider Practice Location Address
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Address Line | 11722 MARSH LN STE 349
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City | DALLAS
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State | TX
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Zip | 75229-2682
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Country | US
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Telephone | 214-350-1425
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Fax | 214-350-0112
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Provider Business Mailing Address
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Address Line | 11722 MARSH LN STE 349
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City | DALLAS
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State | TX
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Zip | 75229-2682
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Country | US
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Telephone | 214-350-1425
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Fax | 214-350-0112
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Authorized Official
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Title or Position | OWNER
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Name | HODONG KWON
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Credential | DDS
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Telephone | 214-350-1425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 32426
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License Number State | TX
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