1010 Emergency Dental Pllc
NPI #1730915802 in Lake Dallas, Texas
Provider Information
- NPI Number
- 1730915802
- Entity Type
- Organization
- Organization Name
- 1010 Emergency Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 13, 2024
- Last Updated
- Nov 24, 2024
Practice Location
- Address
- 507 JEFFERSON LN
- City
- Lake Dallas
- State
- Texas
- ZIP Code
- 75065-3489
- Phone
- (703) 477-4659
Authorized Official
- Name
- DR. JAKE KIM, DDS
- Title
- OWNER
- Phone
- (703) 477-4659
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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