<Unavail>

LBN: Boso Pa
<Unavail> is an health care organization with primary practice located at 2625 Old Denton Rd Ste 101 , Carrollton TX 75007-5133. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Boso Pa can be contacted via phone (972) 242-3737, or through Kang, Yoon C via phone (972) 242-3737.

Contact Information

Primary practice address
2625 Old Denton Rd Ste 101 Carrollton TX 75007-5133
Phone: (972) 242-3737
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kang, Yoon C Doctor of Dental Surgery (DDS)
Phone: (972) 242-3737

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19320 Texas

Profile Details

NPI number 1083154488
LBN Legal business name Boso Pa
DBA Doing business as <Unavail>
Authorized official Kang, Yoon C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2017
Last updated Jun 19th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083154488 NPPES
Texas MEDICAID 009493003

Popular Providers