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1831621234
ANDREW KIM
SHREVEPORT, LA
NPI
1831621234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 35913)
Enumeration Date
2017-04-03
Last Update Date
2022-03-18
Business Address
ANDREW KIM DMD
1501 KINGS HWY ORAL SURGERY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0555
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Mailing Address
ANDREW KIM DMD
1501 KINGS HWY ORAL SURGERY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0555
Copy
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