Kim, Wan

Kim, Wan is an sole proprietor health care provider with primary practice located at 1120 Peachtree Industrial Blvd #203, Suwanee GA 30024-2013. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Kim, Wan can be contacted via phone (770) 904-7005.

Contact Information

Primary practice address
1120 Peachtree Industrial Blvd #203 Suwanee GA 30024-2013
Phone: (770) 904-7005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1285925669
LBN Legal business name Kim, Wan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2011
Last updated Apr 20th, 2011 - about 14 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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