Individual
SORA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 CORPORATE CENTER CT, STE A, STOCKBRIDGE, GA 30281-6360
(678) 289-6707
(850) 837-2042
Mailing address
330 CORPORATE CENTER CT, STE A, STOCKBRIDGE, GA 30281-6360
(678) 289-6707
(850) 837-2042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013594
GA
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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