TAEKEONG KIM

FORT WORTH, TX
NPI1164168092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX  38362)
Enumeration Date2022-05-12
Last Update Date2022-05-12
Business Address
TAEKEONG KIM
3411 SYCAMORE SCHOOL RD
FORT WORTH, TX 76123-2091
Phone number: 682-233-9326
Mailing Address
TAEKEONG KIM
5270 N O CONNOR BLVD APT 1524
IRVING, TX 75039-5725
Phone number: 415-996-4082
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