Individual
KYOUNGMIN LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 MARKET SQUARE RD, NEWNAN, GA 30265-5613
(770) 251-8145
Mailing address
675 PONCE DE LEON AVE NE UNIT E508, ATLANTA, GA 30308-1887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123783
GA
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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