NPI 1649935099

Chris Kwang Kim

Practitioner Dental Laboratory Plano, TX

Practice location

Address: 2115 Teakwood Ln STE 200, Plano, TX 75075-4425
Phone: (657) 331-1046

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence 3766 (TX)

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Registry record

NPI: 1649935099
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2021
Record last updated: 1 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.