Taekeong Kim
Taekeong Kim is an Orthodontics and Dentofacial Orthopedics Dentistry in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2022
Practice location Address checks out
3411 Sycamore School RdFort Worth, TX 76123-2091
Phone: (682) 233-9326
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Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence 38362 (TX) |
|---|
Record details
| NPI number | 1164168092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 12, 2022 |
| Last updated in NPPES | May 12, 2022 |
| Certification date | May 12, 2022 |
| Mailing address | 5270 N O Connor Blvd Apt 1524, Irving, TX 75039-5725 |
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