Individual
HYEON SEOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8942 S BROADWAY AVE STE 128, TYLER, TX 75703-5443
(903) 405-1552
Mailing address
313 WROTHAM LN, ALLEN, TX 75013-2971
(972) 697-1606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38806
TX
1223G0001X
General Practice Dentistry
38806
TX
Other
Enumeration date
07/26/2022
Last updated
07/27/2022
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