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1790011609
YOUNG TAE SHIM
DULUTH, GA
NPI
1790011609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 31033)
Additional Taxonomies
122300000X Dentist
(Licence: GA DN13999)
Enumeration Date
2009-10-27
Last Update Date
2022-06-01
Business Address
DR. YOUNG TAE SHIM DMD
2925 PREMIERE PKWY STE 175B
DULUTH, GA 30097-5258
Phone number: 404-910-9060
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Mailing Address
DR. YOUNG TAE SHIM DMD
2953 SPRINGBLUFF LN
BUFORD, GA 30519-4195
Phone number: 404-512-0760
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