Provider Demographics
NPI:1871892950
Name:ZECHY LLC
Entity type:Organization
Organization Name:ZECHY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HYUNG
Authorized Official - Middle Name:S
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:682-503-4507
Mailing Address - Street 1:5005 HERITAGE AVE
Mailing Address - Street 2:STE150
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-5983
Mailing Address - Country:US
Mailing Address - Phone:682-503-4507
Mailing Address - Fax:
Practice Address - Street 1:5005 HERITAGE AVE
Practice Address - Street 2:STE150
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5983
Practice Address - Country:US
Practice Address - Phone:682-503-4507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty