# DR. CHRISTOPHER KIM, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eagle Mountain Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952748295
- **Authorized official:** DR. CHRISTOPHER CHAEHO KIM DDS (DENTIST)
- **Authorized official phone:** (817) 750-5433

## Contact information

- **Practice address:** 8455 BOAT CLUB RD, SUITE 175, FORT WORTH, TX 76179-3632
- **Practice address phone:** (817) 750-5433
- **Mailing address:** 1609 OVERLOOK TER, KELLER, TX 76262-9321
- **Mailing address phone:** (817) 750-5433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 21561 | TX | Yes |

## Other

- **Enumeration date:** 05/28/2013
- **Last updated:** 05/28/2013