Individual
DR. TIMOTHY P KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
AUGUSTA UNIVERSITY THE DENTAL COLLEGE OF GEORGIA, AUGUSTA, GA 30912-0001
(706) 721-2251
Mailing address
1120 15TH ST # GC5114, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015412
GA
122300000X
Dentist
FK4423199
GA
Other
Enumeration date
05/11/2017
Last updated
08/21/2024
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