Individual
ANNIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
807 N BELT LINE RD, IRVING, TX 75061-6317
(972) 316-4556
Mailing address
807 N BELT LINE RD, IRVING, TX 75061-6317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32323
TX
1223G0001X
General Practice Dentistry
32323
TX
Other
Enumeration date
08/29/2016
Last updated
07/15/2025
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