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Organization
WILLOWPLACE STAR DENTAL
Active
Organization
WILLOWPLACE STAR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG SHIM DMD (MANAGER)
(404) 512-0760
Entity
Organization
Contact information
Practice address
17350 STATE HIGHWAY 249 STE 340, HOUSTON, TX 77064-1139
(832) 869-4185
Mailing address
17350 STATE HIGHWAY 249 STE 340, HOUSTON, TX 77064-1139
(832) 869-4185
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
06/13/2022
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