Individual provider · Type 1 NPI

Mikeong Kim

General Practice Dentistry · Desoto, TX

NPI number 1316627573 Active

Practice location

921 W Belt Line Rd Ste 117
Desoto, TX 75115-3995

Mailing address

3405 Montgomery Dr Apt 437
Santa Clara, CA 95054-3090

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X39853 (TX)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1316627573

Mikeong Kim's National Provider Identifier is 1316627573, issued on Jul 24, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Desoto, TX. The record was last updated on Aug 2, 2023.