Kim, Bora
Kim, Bora is an individual health care provider with primary practice located at 1019 Beaty Blvd Ste 600 , Gallatin TN 37066-4765. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is her primary health care specialty. Kim, Bora can be contacted via phone (615) 989-6611.Contact Information
Primary practice address
1019 Beaty Blvd Ste 600
Gallatin TN 37066-4765
Phone: (615) 989-6611
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | DE60876116 | Washington |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1437686920 |
---|---|
LBN Legal business name | Kim, Bora |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2017 |
Last updated | Jan 14th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437686920 | NPPES |
Other | 1437686920 | NPI |
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