Provider Demographics
NPI:1700450046
Name:DANIEL S. LIM PLLC
Entity Type:Organization
Organization Name:DANIEL S. LIM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:SUENG
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:817-375-0400
Mailing Address - Street 1:7416 S COOPER ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-7090
Mailing Address - Country:US
Mailing Address - Phone:817-373-3247
Mailing Address - Fax:817-701-3974
Practice Address - Street 1:7416 S COOPER ST STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-7090
Practice Address - Country:US
Practice Address - Phone:817-373-3247
Practice Address - Fax:817-701-3974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty