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Individual

DR. BRIAN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3030 COVINGTON PIKE STE 150, MEMPHIS, TN 38128-5041
(901) 310-1441
Mailing address
2058 KINGS CROSS LN, CORDOVA, TN 38016-5176
(901) 830-7000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D9944
OR
1223G0001X
General Practice Dentistry
Primary
104004
TN
1223G0001X
General Practice Dentistry
34666
TX

Other

Enumeration date
08/19/2013
Last updated
03/25/2019
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