Individual
JIN MOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 HIGHWAY 138 SE, CONYERS, GA 30013-1285
(678) 521-9727
Mailing address
8510 SAINT MARLO FAIRWAY DR, DULUTH, GA 30097-6602
(678) 521-9727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D123926
GA
Other
Enumeration date
05/28/2025
Last updated
08/11/2025
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