| Kwon-kim Dds Pllc | |
|
4112 East Renner Rd. Richardson TX 75082 | |
| (972) 480-0800 | |
| (972) 480-0900 |
| Full Name | Kwon-kim Dds Pllc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 4112 East Renner Rd., Richardson, Texas |
| Authorized Official Name and Position | Jinsoo Kim (PRESIDENT) |
| Authorized Official Contact | 9724800800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kwon-kim Dds Pllc 4112 East Renner Rd. Richardson TX 75082 Ph: (972) 480-0800 | Kwon-kim Dds Pllc 4112 East Renner Rd. Richardson TX 75082 Ph: (972) 480-0800 |
| NPI Number | 1083096713 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083096713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 28842 (Texas) | Primary |
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