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Individual
DR. SOO BIN KIM
Active
Individual
DR. SOO BIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, DDS, PA
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164876801
—
TX
01
—
21422
DENTIST LICENSE
TX
01
—
D008391
DENTIST LICENSE
AZ
Enumeration date
07/11/2006
Last updated
03/07/2023
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