Individual
DR. SUN CHUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2645 N BERKELEY LAKE RD NW # A201, DULUTH, GA 30096-3002
(470) 545-1096
(470) 200-0621
Mailing address
2645 N BERKELEY LAKE RD NW # A201, DULUTH, GA 30096-3002
(470) 545-1096
(470) 200-0621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013943
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN 013943
GEORGIA BOARD OF DENTISTRY
GA
Enumeration date
07/13/2009
Last updated
03/27/2024
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