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Organization
KIM N GO DENTALCARE,P.A
Active
Organization
KIM N GO DENTALCARE,P.A
Active
Other names
Nova dental
Organization subpart
No
Provider details
NPI number
Authorized official
HAWOON KIM (OWNER)
(213) 219-9973
Entity
Organization
Contact information
Practice address
1231 E PIONEER PKWY, ARLINGTON, TX 76010-5886
(213) 219-9973
Mailing address
1231 E PIONEER PKWY, ARLINGTON, TX 76010-5886
(213) 219-9973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295048395
NPI(PERSONAL)
TX
Enumeration date
02/12/2014
Last updated
02/12/2014
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