Individual
EUKYEOM KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13998 HORIZON BLVD STE 140, HORIZON CITY, TX 79928-6599
(915) 852-0852
Mailing address
13998 HORIZON BLVD STE 140, HORIZON CITY, TX 79928-6599
(915) 852-0852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02475700
NJ
1223G0001X
General Practice Dentistry
Primary
27859
TX
Other
Enumeration date
07/07/2011
Last updated
03/09/2020
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