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Dr. Bora Kim, DMD
Student in an Organized Health Care Education/Training Program in Gallatin, Tennessee
NPI 1437686920

Bora Kim is a Student in an Organized Health Care Education/Training Program based in Gallatin, TN. Bora Kim practices in Gallatin, TN and has the professional credentials of DMD. The NPI Number for Bora Kim is 1437686920 and holds a License No. DE60876116 (Tennessee).

The current practice location address for Bora Kim is 1019 Beaty Blvd Ste 600, Gallatin, TN and can be reached out via phone at 615-989-6611.

Location: 1019 Beaty Blvd Ste 600, Gallatin, TN, 37066-4765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437686920
Provider Name
Bora Kim
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1019 Beaty Blvd Ste 600, Gallatin, TN, 37066-4765
Phone Number
615-989-6611
Fax Number
Provider Enumeration Date
05/16/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437686920 01 NPI
institution
Provider Business Practice Location Address Details
Address
1019 Beaty Blvd Ste 600
City
Gallatin
State
Tennessee
Zip
37066-4765
Phone Number
615-989-6611
Fax Number
person
Provider Business Mailing Address Details
Address
1019 Beaty Blvd Ste 600
City
Gallatin
State
Tennessee
Zip
37066-4765
Phone Number
615-989-6611
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DE60876116 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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