Individual
DR. JONATHAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1830 SCENIC HWY N STE 220, SNELLVILLE, GA 30078-2100
(770) 844-9454
Mailing address
4323 TACOMA TRCE, SUWANEE, GA 30024-8731
(678) 361-6213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60793892
WA
122300000X
Dentist
65136
CA
122300000X
Dentist
Primary
DN122806
GA
Other
Enumeration date
09/28/2015
Last updated
10/01/2022
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