NPI 1285925669
Wan Kim
Practice location
- Address
- 1120 Peachtree Industrial Blvd #203, Suwanee, GA 30024-2013
- Phone
- (770) 904-7005
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1285925669
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Apr 2011
- Record last updated
- 20 Apr 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.