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Organization
DR. CHRISTOPHER KIM, DDS, PA
Active
Organization
DR. CHRISTOPHER KIM, DDS, PA
Active
Other names
Eagle Mountain Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CHAEHO KIM DDS (DENTIST)
(817) 750-5433
Entity
Organization
Contact information
Practice address
8455 BOAT CLUB RD, SUITE 175, FORT WORTH, TX 76179-3632
(817) 750-5433
Mailing address
1609 OVERLOOK TER, KELLER, TX 76262-9321
(817) 750-5433
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21561
TX
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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