Organization
DENTON SHK DENTAL PC
Active
Other names
1st Smile Dental Care of Denton
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY H KIM KATIE BAE (OFFICE MANAGER)
(214) 736-3777
Entity
Organization
Contact information
Practice address
1800 BRINKER RD STE 290, DENTON, TX 76208-6179
(214) 736-3777
(972) 570-3776
Mailing address
1800 BRINKER RD STE 290, DENTON, TX 76208-6179
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298227402
—
TX
Enumeration date
07/02/2014
Last updated
07/02/2014
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