| Sun Kim DMD LLC | |
|
3100 Five Forks Trickum Rd Sw Ste 501 Lilburn GA 30047-1888 | |
| (770) 736-8085 | |
| Not Available |
| Full Name | Sun Kim DMD LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3100 Five Forks Trickum Rd Sw Ste 501, Lilburn, Georgia |
| Authorized Official Name and Position | Sun Kun Kim (CEO) |
| Authorized Official Contact | 7703102648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Kim DMD LLC 3100 Five Forks Trickum Rd Sw Ste 501 Lilburn GA 30047-1888 Ph: (770) 310-2648 | Sun Kim DMD LLC 3100 Five Forks Trickum Rd Sw Ste 501 Lilburn GA 30047-1888 Ph: (770) 736-8085 |
| NPI Number | 1417649310 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417649310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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