Individual
DR. KIM HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1515 MORROW ROAD, MORROW, GA 30260
(770) 961-6460
(770) 960-6017
Mailing address
3211 HOPE STREET, HAPEVILLE, GA 30260
(770) 961-6460
(770) 960-6017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9166
GA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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