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NPI 1295210573

OrganizationActive

Lone Star Dental Anesthesia

NPI 1295210573 · Dental Anesthesiology · Richardson, TX

Provider details

NPI number: 1295210573
Entity type: Organization
Primary specialty: Dental AnesthesiologyDental Providers
Authorized official: Jinsoo Kim, Owner

Practice location

4112 E Renner Rd

Richardson, TX 75082-2832

Phone: (972) 536-3972

More TX providers

Mailing address

4112 E Renner Rd

Richardson, TX 75082-2832

Registry dates

Enumerated: 2018-10-02
Last updated: 2018-10-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Lone Star Dental Anesthesia — NPI 1295210573, Richardson, TX | NPI Central