Individual
MELLANIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3819 CLEGHORN AVE, NASHVILLE, TN 37215-2507
(615) 383-2242
Mailing address
3819 CLEGHORN AVE, NASHVILLE, TN 37215-2507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12706
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2013
Last updated
04/28/2025
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