| Forest Dental Cafe | |
|
8075 Fm 423 Bldg 3 Suite 110 Frisco TX 75034 | |
| (646) 306-5382 | |
| Not Available |
| Full Name | Forest Dental Cafe |
|---|---|
| Speciality | Dentist |
| Location | 8075 Fm 423 Bldg 3, Frisco, Texas |
| Authorized Official Name and Position | Demian Jungmook Kim (PRESIDENT) |
| Authorized Official Contact | 6463065382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Dental Cafe 4000 Sigma Rd 9407 Farmers Branch TX 75244-8115 Ph: (646) 306-5382 | Forest Dental Cafe 8075 Fm 423 Bldg 3 Suite 110 Frisco TX 75034 Ph: (646) 306-5382 |
| NPI Number | 1083092662 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083092662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27612 (Texas) | Primary |
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