Individual
DR. JINYEOP JASON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-9770
Mailing address
3640 CHAMBLEE TUCKER RD, ATLANTA, GA 30341-4418
(770) 215-0087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
122366
GA
Other
Enumeration date
02/19/2021
Last updated
05/25/2023
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