Organization
DENTISTRY OF SAN ANTONIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNGJOON KIM DDS (OWNER)
(909) 602-7007
Entity
Organization
Contact information
Practice address
13032 NACOGDOCHES RD STE 202, SAN ANTONIO, TX 78217-1962
(909) 602-7007
Mailing address
4401 LAKE APACHE DR, CORPUS CHRISTI, TX 78413-5811
(909) 602-7007
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
12/06/2024
Last updated
12/26/2024
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