Organization
DENTISTS AT BIG BEND, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOL KIM (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
7020 BIG BEND RD, SUITE 105, RIVERVIEW, FL 33534
(813) 499-9204
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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