# DENTISTRY OF SAN ANTONIO

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

## Provider details

- **NPI number:** 1952117756
- **Authorized official:** DR. YOUNGJOON KIM DDS (OWNER)
- **Authorized official phone:** (909) 602-7007

## Contact information

- **Practice address:** 13032 NACOGDOCHES RD STE 202, SAN ANTONIO, TX 78217-1962
- **Practice address phone:** (909) 602-7007
- **Mailing address:** 4401 LAKE APACHE DR, CORPUS CHRISTI, TX 78413-5811
- **Mailing address phone:** (909) 602-7007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/06/2024
- **Last updated:** 12/26/2024