# KIM T. VAN, DMD II, P.A.

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

## Provider details

- **NPI number:** 1831501568
- **Authorized official:** DR. KIM T. VAN DMD (OWNER)
- **Authorized official phone:** (817) 459-2113

## Contact information

- **Practice address:** 2111 N COLLINS ST, SUITE 203, ARLINGTON, TX 76011-2848
- **Practice address phone:** (817) 459-2113
- **Practice address fax:** (817) 459-2123
- **Mailing address:** 2111 N COLLINS ST, SUITE 203, ARLINGTON, TX 76011-2848
- **Mailing address phone:** (817) 459-2113
- **Mailing address fax:** (817) 459-2123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 23133 | TX | Yes |

## Other

- **Enumeration date:** 05/29/2014
- **Last updated:** 05/29/2014