Individual
GIBEUM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1101 N MAIN ST, EULESS, TX 76039-2730
(814) 786-3941
Mailing address
1101 N MAIN ST, EULESS, TX 76039-2730
(814) 786-3941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29267
TX
Other
Enumeration date
07/30/2013
Last updated
09/28/2013
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