| NPI | 1952748295 |
|---|---|
| Doing Business As | EAGLE MOUNTAIN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHAEHO KIM Dentist 817-750-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 21561) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |