| Custer Creek Dental Care | |
|
3041 S. Custer Rd. Suite 600 Mckinney TX 75070 | |
| (469) 343-1212 | |
| (469) 343-1234 |
| Full Name | Custer Creek Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3041 S. Custer Rd., Mckinney, Texas |
| Authorized Official Name and Position | Steve Jaewoo Kim (DR) |
| Authorized Official Contact | 4088210187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custer Creek Dental Care 3041 S. Custer Rd. Suite 600 Mckinney TX 75070 Ph: (469) 343-1212 | Custer Creek Dental Care 3041 S. Custer Rd. Suite 600 Mckinney TX 75070 Ph: (469) 343-1212 |
| NPI Number | 1780230946 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 04/07/2020 |
| Certification Date | 04/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780230946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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