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Organization

FORSYTHPEDIATRICDENTISTRY LLC

Active
Other names
Pediatric Dentistry of Forsyth
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICK KIM DMD (OWNER)
(334) 549-2714
Entity
Organization

Contact information

Practice address
3810 WINDERMERE PKWY STE 501, CUMMING, GA 30041-7015
(770) 889-9600
Mailing address
3810 WINDERMERE PKWY STE 501, CUMMING, GA 30041-7015

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
261QD0000X
Dental Clinic/Center

Other

Enumeration date
04/11/2024
Last updated
04/11/2024
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