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8514 Bellaire Blvd Houston TX 77036 | |
| (713) 779-6900 | |
| (713) 779-6945 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8514 Bellaire Blvd, Houston, Texas |
| Authorized Official Name and Position | Kevin Kim (PRESIDENT) |
| Authorized Official Contact | 7137797600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5212 Cedar St Bellaire TX 77401-3915 Ph: (713) 668-3677 | 8514 Bellaire Blvd Houston TX 77036 Ph: (713) 779-6900 |
| NPI Number | 1306173117 |
|---|---|
| Provider Enumeration Date | 11/16/2009 |
| Last Update Date | 11/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306173117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22390 (Texas) | Primary |
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