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1285925669
WAN KIM
SUWANEE, GA
NPI
1285925669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2011-04-20
Last Update Date
2011-04-20
Business Address
-- WAN KIM
1120 PEACHTREE INDUSTRIAL BLVD #203
SUWANEE, GA 30024-2013
Phone number: 770-904-7005
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Mailing Address
-- WAN KIM
1120 PEACHTREE INDUSTRIAL BLVD #203
SUWANEE, GA 30024-2013
Phone number: 770-904-7005
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