Individual
DR. MIN-YOUNG KIM CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3590 BRASELTON HWY STE 100, DACULA, GA 30019-1117
(770) 448-8882
Mailing address
660 RALPH MCGILL BLVD NE APT 2607, ATLANTA, GA 30312-1156
(803) 389-8514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN123619
GA
122300000X
Dentist
RES.004524
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN123619
GA
Other
Enumeration date
05/23/2022
Last updated
03/06/2025
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