| Krest Dental | |
|
117 N Belt Line Rd Grand Prairie TX 75050-5800 | |
| (972) 262-1395 | |
| (972) 262-1397 |
| Full Name | Krest Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 117 N Belt Line Rd, Grand Prairie, Texas |
| Authorized Official Name and Position | Soo Bin Kim (OWNER/ DENTIST) |
| Authorized Official Contact | 4043546787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krest Dental Po Box 543248 Grand Prairie TX 75054-3248 Ph: (972) 262-1395 | Krest Dental 117 N Belt Line Rd Grand Prairie TX 75050-5800 Ph: (972) 262-1395 |
| NPI Number | 1104257880 |
|---|---|
| Provider Enumeration Date | 12/06/2013 |
| Last Update Date | 12/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104257880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21422 (Texas) | Primary |
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