Individual
DR. NICOLE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.D.
Contact information
Practice address
2903 50TH ST, LUBBOCK, TX 79413-4323
(806) 589-0658
(806) 797-0975
Mailing address
2903 50TH ST, LUBBOCK, TX 79413-4323
(806) 589-0658
(806) 797-0975
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
32727
TX
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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