Individual
JIHWAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5900 W SLAUGHTER LN STE 470C, AUSTIN, TX 78749-6513
(512) 948-3822
Mailing address
8400 EVELINA TRL, AUSTIN, TX 78737-8546
(917) 886-4556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
39386
TX
1223P0221X
Pediatric Dentistry
Primary
39386
TX
Other
Enumeration date
04/05/2021
Last updated
07/05/2023
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