Organization
COOKIE DENTAL & ORTHODONTICS LLC
Active
Other names
DENTAL STUDIO ATL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEONGHYEON KIM DDS (OWNER)
(415) 967-8853
Entity
Organization
Contact information
Practice address
3100 FIVE FORKS TRICKUM RD SW STE 201, LILBURN, GA 30047-1887
(770) 978-3292
Mailing address
3100 FIVE FORKS TRICKUM RD SW STE 201, LILBURN, GA 30047-1887
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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