Individual
DR. JINAH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 PARKER DR # A, LAGRANGE, GA 30240-6436
(706) 884-3636
Mailing address
105 PARKER DR, LAGRANGE, GA 30240-6436
(706) 884-3636
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN124259
GA
1223G0001X
General Practice Dentistry
D.007456-C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2024
Last updated
08/15/2026
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