| NPI | 1962711705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUN CHUN KIM President 404-610-6816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3398) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN013943) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |