Individual
DR. MI LEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6267 MEMORIAL DR, STONE MOUNTAIN, GA 30083-2856
(678) 826-4772
Mailing address
6025 FARRELL WAY, JOHNS CREEK, GA 30097-8486
(720) 273-0580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9793
CO
1223P0221X
Pediatric Dentistry
DN014864
GA
Other
Enumeration date
03/06/2009
Last updated
09/09/2014
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