Organization
DULUTH DENTAL AND DENTURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA KIM DDS (DENTIST)
(678) 924-9848
Entity
Organization
Contact information
Practice address
1625 PLEASANT HILL RD, SUITE #140, DULUTH, GA 30096-2326
(678) 924-9848
Mailing address
1625 PLEASANT HILL RD, SUITE #140, DULUTH, GA 30096-2326
(678) 924-9848
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN015143
GA
261QD0000X
Dental Clinic/Center
DS040187
PA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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