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Individual
DR. HEESUNG STEVE KIM
Active
Individual
DR. HEESUNG STEVE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
37148
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401416203
VA
171000000X
Military Health Care Provider
Primary
37148
TX
Other
Enumeration date
08/08/2018
Last updated
08/10/2026
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