Individual
SUNG K KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7500 CAMBRIDGE ST # 5367, HOUSTON, TX 77054-2032
(713) 486-4417
Mailing address
7500 CAMBRIDGE ST # 5367, HOUSTON, TX 77054-2032
(713) 486-4417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10039
CO
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
36845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10039
LICENSE
CO
Enumeration date
11/17/2009
Last updated
03/11/2021
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