Individual
JEONG YEON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
398 E FM 1382 STE B, CEDAR HILL, TX 75104-6056
(972) 291-6262
Mailing address
4820 ZILKER AVE, CARROLLTON, TX 75010-4347
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41696
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2023
Last updated
01/23/2026
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