Individual
JI SEOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7033 GREENVILLE AVE STE 102, DALLAS, TX 75231-5116
(214) 233-9460
Mailing address
6523 ESCENA BLVD UNIT 3100, IRVING, TX 75039-4280
(267) 475-2539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33325
TX
Other
Enumeration date
07/30/2017
Last updated
07/30/2017
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