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Individual

ANDY KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
108 LIFESTYLE WAY, BENTON, TN 37307-3914
(423) 338-7777
(423) 299-9167
Mailing address
5407 CURRY CREEK RD, CRESTWOOD, KY 40014-9513
(502) 640-6632

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000009365
TN

Other

Enumeration date
10/20/2011
Last updated
10/20/2011
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