Individual
ANDREW KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
451 MURFREESBORO PIKE, NASHVILLE, TN 37210-2842
(615) 256-7543
Mailing address
451 MURFREESBORO PIKE, NASHVILLE, TN 37210-2842
(615) 414-8092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9340
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9340
TENNESSEE BOARD OF DENTISTRY
TN
Enumeration date
07/06/2011
Last updated
07/06/2011
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