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Organization

CHUNGMI JO DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHUNGMI KIM DDS (OWNER)
(713) 471-0122
Entity
Organization

Contact information

Practice address
6000 MCKINNEY RANCH PKWY, STE 101, MCKINNEY, TX 75070
(713) 471-0122
(866) 892-0774
Mailing address
6000 MCKINNEY RANCH PKWY, STE 101, MCKINNEY, TX 75070
(713) 471-0122
(866) 892-0774

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29969
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003222811
NPPES
TX
Enumeration date
12/04/2017
Last updated
12/04/2017
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