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Individual

DAVID YONGTAE KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
506 1ST AVE S.E, CULLMAN, AL 35055
(256) 739-3337
(256) 739-3165
Mailing address
P O BOX 910, CULLMAN, AL 35055
(256) 739-3337
(256) 739-3165

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4937
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009920665
AL
Enumeration date
10/02/2006
Last updated
07/19/2012
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