# GRACE E KIM DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SMILES FAMILY DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407682339
- **Authorized official:** GRACE KIM DDS (DENTIST)
- **Authorized official phone:** (410) 202-8500

## Contact information

- **Practice address:** 1301 MOUNT HERMON RD, SALISBURY, MD 21804-5219
- **Practice address phone:** (410) 202-8500
- **Practice address fax:** (410) 202-8507
- **Mailing address:** 1301 MOUNT HERMON RD, SALISBURY, MD 21804-5219
- **Mailing address phone:** (410) 202-8500
- **Mailing address fax:** (410) 202-8507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 09/09/2024