Individual
JAIME KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1203 CLEVELAND AVE STE 1A, EAST POINT, GA 30344-3417
(404) 595-5104
Mailing address
1203 CLEVELAND AVE STE 1A, EAST POINT, GA 30344-3417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6793
AL
1223G0001X
General Practice Dentistry
Primary
DN015940
GA
Other
Enumeration date
07/23/2019
Last updated
02/02/2025
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