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Individual

DR. NAM EUN KIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3820 PLEASANT HILL RD, STE 1, DULUTH, GA 30096-1429
(770) 497-0110
(770) 497-0580
Mailing address
1905 SCENIC HWY N STE 510, SNELLVILLE, GA 30078-5635
(770) 979-6400
(770) 979-7465

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012519
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000949616B
GA
05
000949616C
GA
Enumeration date
06/01/2006
Last updated
04/16/2013
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