Individual
DR. MIN C. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3145 GARDEN AVE STE 1278, FORT SAM HOUSTON, TX 78234-7719
(210) 808-3735
Mailing address
4270 GORGAS CIRCLE, ATTN: ROBERTA DRISKILL, FORT SAM HOUSTON, TX 78234-2639
(210) 221-6326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
051705
NY
1223P0221X
Pediatric Dentistry
Primary
051705
NY
Other
Enumeration date
07/25/2007
Last updated
01/30/2024
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