Individual
FARAH KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3250 CAMELLIA LN, SUWANEE, GA 30024-5335
(770) 841-8211
Mailing address
3250 CAMELLIA LN, SUWANEE, GA 30024-5335
(770) 841-8211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051870
NY
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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