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Individual

JANICE S KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
5005 N PIEDRAS ST, ATTN DENTAC, EL PASO, TX 79920-5001
(915) 742-5935
Mailing address
428 GRAND AVENUE PARKWAY, SUITE150, PFLUGERVILLE, TX 78660
(512) 649-2828

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30748
TX

Other

Enumeration date
11/04/2014
Last updated
12/18/2019
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