# KIDS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386897684
- **Authorized official:** DR. SOOMIN HONG D.D.S. (CEO)
- **Authorized official phone:** (720) 532-3333

## Contact information

- **Practice address:** 10346 E 21ST ST, TULSA, OK 74129-1606
- **Practice address phone:** (720) 532-3333
- **Mailing address:** 10346 E 21ST ST, TULSA, OK 74129-1606
- **Mailing address phone:** (720) 532-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6006 | OK | Yes |

## Other

- **Enumeration date:** 10/30/2008
- **Last updated:** 10/30/2008