Kim, Min Tae
Kim, Min Tae is an sole proprietor health care provider with primary practice located at 1045 Old Peachtree Rd Nw Apt 2210 , Suwanee GA 30024-5066. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, Min Tae can be contacted via phone (224) 234-2460.Contact Information
Primary practice address
1045 Old Peachtree Rd Nw Apt 2210
Suwanee GA 30024-5066
Phone: (224) 234-2460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019031328 | Illinois |
Profile Details
| NPI number | 1881112035 |
|---|---|
| LBN Legal business name | Kim, Min Tae |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2017 |
| Last updated | Jun 18th, 2024 - about 2 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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