Provider Demographics
NPI:1023300043
Name:KIM & CHOI DENTAL P C
Entity type:Organization
Organization Name:KIM & CHOI DENTAL P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOONKI
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-423-6804
Mailing Address - Street 1:700 ALMA DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-8844
Mailing Address - Country:US
Mailing Address - Phone:972-423-6804
Mailing Address - Fax:972-423-6805
Practice Address - Street 1:700 ALMA DR
Practice Address - Street 2:SUITE 109
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8844
Practice Address - Country:US
Practice Address - Phone:972-423-6804
Practice Address - Fax:972-423-6805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty