Individual
CHANGHUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7598 N MESA ST STE 208, EL PASO, TX 79912-3521
(915) 581-1300
Mailing address
7598 N MESA ST STE 208, EL PASO, TX 79912-3521
(915) 581-1300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30535
TX
1223G0001X
General Practice Dentistry
63491
CA
Other
Enumeration date
07/15/2014
Last updated
01/29/2024
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