John W Kim, DMD

NPI #1083978266 in Fayetteville, Georgia

Provider Information

NPI Number: 1083978266
Entity Type: Individual
Name: John W Kim, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 2, 2012
Last Updated: Dec 29, 2021

Practice Location

Address: 1135 HIGHWAY 85 N STE A
City: Fayetteville
State: Georgia
ZIP Code: 30214-2085
Phone: (407) 587-9665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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