Organization
BOUYEAN DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICKOLAS KIM DDS (DENTIST)
(702) 505-1257
Entity
Organization
Contact information
Practice address
1108 W DICKINSON BLVD STE B, FORT STOCKTON, TX 79735-4201
(432) 336-8700
Mailing address
1108 W DICKINSON BLVD STE B, FORT STOCKTON, TX 79735-4201
(432) 336-8700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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