Kim, Roderick Youngdo

Kim, Roderick Youngdo is an sole proprietor health care provider with primary practice located at 1500 S Main St Dept Of , Fort Worth TX 76104-4917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Kim, Roderick Youngdo can be contacted via phone (817) 702-6936.

Contact Information

Primary practice address
1500 S Main St Dept Of Fort Worth TX 76104-4917
Phone: (817) 702-6936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 32838 Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 32838 Texas

Profile Details

NPI number 1689954562
LBN Legal business name Kim, Roderick Youngdo
Credentials DDS, MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2011
Last updated Jun 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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