Provider Demographics
NPI:1326196825
Name:KIM, JOON H (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOON
Middle Name:H
Last Name:KIM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 HOMESTEAD RD STE 3
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77028-2149
Mailing Address - Country:US
Mailing Address - Phone:713-631-3700
Mailing Address - Fax:281-888-9571
Practice Address - Street 1:8300 HOMESTEAD RD STE 3
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77028-2149
Practice Address - Country:US
Practice Address - Phone:713-631-3700
Practice Address - Fax:281-888-9571
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX226411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice