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Individual

ANDREW KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2722 W GRAND PKWY N # 200, KATY, TX 77449
(832) 906-3108
Mailing address
PO BOX 840925, DALLAS, TX 75284-0641
(972) 361-0600

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
29894
TX
1223P0300X
Periodontics
58699
CA

Other

Enumeration date
02/14/2011
Last updated
12/23/2020
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