Organization
E DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIE KIM (DMD)
(201) 905-4140
Entity
Organization
Contact information
Practice address
6956 VAUGHN RD, MONTGOMERY, AL 36116
(334) 578-0011
Mailing address
6956 VAUGHN RD, MONTGOMERY, AL 36116
(334) 578-0011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6073
AL
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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