# DESIGNED BY D

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forest Dental Cafe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083092662
- **Authorized official:** DEMIAN JUNGMOOK KIM D.D.S (PRESIDENT)
- **Authorized official phone:** (646) 306-5382

## Contact information

- **Practice address:** 8075 FM 423 BLDG 3, SUITE 110, FRISCO, TX 75034
- **Practice address phone:** (646) 306-5382
- **Mailing address:** 4000 SIGMA RD, 9407, FARMERS BRANCH, TX 75244-8115
- **Mailing address phone:** (646) 306-5382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 27612 | TX | Yes |

## Other

- **Enumeration date:** 05/14/2015
- **Last updated:** 05/14/2015