Organization
DR. CHRISTOPHER KIM, DDS, PA
Active
Other names
Eagle Mountain Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CHAEHO KIM DDS (DENTIST)
(817) 750-5433
Entity
Organization
Contact information
Practice address
8455 BOAT CLUB RD, SUITE 175, FORT WORTH, TX 76179-3632
(817) 750-5433
Mailing address
1609 OVERLOOK TER, KELLER, TX 76262-9321
(817) 750-5433
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21561
TX
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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