Kim, Chol

Kim, Chol is an individual health care provider with primary practice located at 2494 Jett Ferry Rd Ste101, Dunwoody GA 30338-3090. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, Chol can be contacted via phone (770) 393-1524.

Contact Information

Primary practice address
2494 Jett Ferry Rd Ste101 Dunwoody GA 30338-3090
Phone: (770) 393-1524
Fax: (770) 393-1572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 049427-1 New York
Dental Providers / General Practice 1223G0001X DN013479 Georgia

Profile Details

NPI number 1124196209
LBN Legal business name Kim, Chol
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Aug 1st, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124196209 NPPES
New York MEDICAID 02226828

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