DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JINSOO KIM, DDS

Active

MR. JINSOO KIM, DDS is a 1223D0004X healthcare provider located in RICHARDSON, Texas. NPI 1316019995 is currently active in the NPPES registry. Verify at CMS.

1223D0004X · RICHARDSON, TX

Registration Details

NPI Number
1316019995
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2006 (19.756626318253 yrs)
Last Updated
Apr 4, 2016
Licenses
10618 (WA)
28856 (TX)

Practice Information

Address
4112 E RENNER RD
RICHARDSON, TX, 750822832
Browse TX providers · Browse ZIP 75082
Phone
9724800800
Fax
9724800900
Primary Specialty
1223D0004X
1223D0004X
Additional Specialty
1223D0004X

Other 1223D0004X Providers in RICHARDSON, TX

Name Credential NPI
DR. HASAN ZIA D.D.S 1306224993
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.