Individual
JIN JOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11722 MARSH LN, SUITE 350, DALLAS, TX 75229-2600
(214) 902-9779
Mailing address
1136 JEFFERY TRL, IRVING, TX 75062-6951
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8686T
TX
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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