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1881112035
MIN TAE KIM
SUWANEE, GA
NPI
1881112035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019031328)
Enumeration Date
2017-09-07
Last Update Date
2024-06-18
Business Address
MIN TAE KIM DDS
1045 OLD PEACHTREE RD NW APT 2210
SUWANEE, GA 30024-5066
Phone number: 224-234-2460
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Mailing Address
MIN TAE KIM DDS
1045 OLD PEACHTREE RD NW APT 2210
SUWANEE, GA 30024-5066
Phone number: 224-234-2460
Copy
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