Individual
CHARLES KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1401 S JEFFERSON AVE STE 4, MT PLEASANT, TX 75455-5647
(903) 572-1600
Mailing address
8511 S ROSE TERRACE LN, HOUSTON, TX 77055-1173
(832) 260-3936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37364
TX
Other
Enumeration date
07/03/2021
Last updated
07/03/2021
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