Individual
DR. DAVID TAESUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1430 JOHN WESLEY GILBERT DR, GC-1353, AUGUSTA, GA 30912-1000
(706) 721-2881
Mailing address
1430 JOHN WESLEY GILBERT DR, GC-1353, AUGUSTA, GA 30912-1000
(706) 721-2881
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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