Organization
TOMMY L KIM, DDS, PA
Active
Other names
Prosperity Park Center for Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY LEE KIM DDS (OWNER/DOCTOR)
(704) 948-5684
Entity
Organization
Contact information
Practice address
10220 PROSPERITY PARK RD, STE 100, CHARLOTTE, NC 28269-1105
(704) 948-5684
Mailing address
10220 PROSPERITY PARK RD, STE 100, CHARLOTTE, NC 28269-1105
(704) 948-5684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7145
NC
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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