Organization
GLOWING SMILES PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORA KIM DMD (PEDIATRIC DENTIST)
(423) 400-8923
Entity
Organization
Contact information
Practice address
1019 BEATY BLVD STE 600, GALLATIN, TN 37066-4765
(615) 989-6611
Mailing address
375 BIG CREEK LN, RINGGOLD, GA 30736-8562
(423) 400-8923
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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