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Individual

DR. YOUNG TAE SHIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2925 PREMIERE PKWY STE 175B, DULUTH, GA 30097-5258
(404) 910-9060
Mailing address
2953 SPRINGBLUFF LN, BUFORD, GA 30519-4195
(404) 512-0760

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31033
TX
122300000X
Dentist
DN13999
GA

Other

Enumeration date
10/27/2009
Last updated
06/01/2022
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