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NPI 1649935099

IndividualActive

Chris Kim

NPI 1649935099 · Dental Laboratory · Plano, TX

Provider details

NPI number: 1649935099
Entity type: Individual
Primary specialty: Dental LaboratoryLaboratories
Sex: Male
Sole proprietor: Yes
License: 3766 (TX)

Practice location

2115 Teakwood Ln Ste 200

Plano, TX 75075-4425

Phone: (657) 331-1046

More TX providers

Mailing address

2115 Teakwood Ln Ste 200

Plano, TX 75075-4425

Registry dates

Enumerated: 2021-11-01
Last updated: 2021-11-01

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

Chris Kim — NPI 1649935099, Plano, TX | NPI Central