| Krest Dental | |
|
5006 Wesley St. Greenville TX 75402-6307 | |
| (903) 454-1121 | |
| (903) 454-2515 |
| Full Name | Krest Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5006 Wesley St., Greenville, 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: (903) 454-1121 | Krest Dental 5006 Wesley St. Greenville TX 75402-6307 Ph: (903) 454-1121 |
| NPI Number | 1740611771 |
|---|---|
| Provider Enumeration Date | 12/02/2013 |
| Last Update Date | 12/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740611771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21422 (Texas) | Primary |
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