| NPI | 1093115438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYUNGCHUL CHUL KIM Owner 469-291-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 29373) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2023-06-08 |