Lone Star Dental Anesthesia
NPI #1295210573 in Richardson, Texas
Provider Information
- NPI Number
- 1295210573
- Entity Type
- Organization
- Organization Name
- Lone Star Dental Anesthesia
- Primary Specialty
- Dentist - Dental Anesthesiology
- Enumeration Date
- Oct 2, 2018
- Last Updated
- Oct 2, 2018
Practice Location
- Address
- 4112 E RENNER RD
- City
- Richardson
- State
- Texas
- ZIP Code
- 75082-2832
- Phone
- (972) 536-3972
Authorized Official
- Name
- JINSOO KIM, DDS
- Title
- OWNER
- Phone
- (972) 536-3972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Anesthesiology — Dental Anesthesiology |
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