MEDICARE: YO HAN KIM DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	32234	TX

General Provider Information

NPI Number	:	1750837902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YO HAN KIM DDS

Provider Business Mailing Address
First Line	:	3990 NE LOOP 820 STE 100
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76117-1130
Country	:	US
Telephone Number	:	214-838-7277
Fax Number	:	214-838-7279

Provider Business Practice Location Address
First Line	:	3990 NE LOOP 820 STE 100
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76117-1130
Country	:	US
Telephone Number	:	214-838-7277
Fax Number	:	214-838-7279

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2016
Last Update Date	:	04/09/2026

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Directions to “ YO HAN KIM DDS” Practice Location

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