# EAST FALLS FAMILY DENTISTRY,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174804769
- **Authorized official:** DR. HYOSUN KIM D.M.D (MEMBER)
- **Authorized official phone:** (610) 425-7170

## Contact information

- **Practice address:** 306 GLENN ROSE BLVD, KING OF PRUSSIA, PA 19406-5700
- **Practice address phone:** (610) 425-7170
- **Mailing address:** 3500 SUNNYSIDE AVE, PHILADELPHIA, PA 19129-1628
- **Mailing address phone:** (215) 849-1826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS037181 | PA | Yes |

## Other

- **Enumeration date:** 09/09/2011
- **Last updated:** 09/09/2011