Provider Demographics
NPI:1265928444
Name:YOU, DANIEL MINHO (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MINHO
Last Name:YOU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2737 OLYMPIC PARK DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-1321
Mailing Address - Country:US
Mailing Address - Phone:469-328-4157
Mailing Address - Fax:
Practice Address - Street 1:2737 OLYMPIC PARK DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-1321
Practice Address - Country:US
Practice Address - Phone:469-328-4157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice