Individual
DR. BOMI KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 BIG CREEK LN, RINGGOLD, GA 30736-8562
(423) 504-4405
Mailing address
375 BIG CREEK LN, RINGGOLD, GA 30736-8562
(423) 504-4405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123206
GA
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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