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Organization
HAE SOOK KIM DMD LLC
Active
Organization
HAE SOOK KIM DMD LLC
Active
Other names
Tender Care Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAE SOOK KIM DMD (OWNER)
(301) 290-0001
Entity
Organization
Contact information
Practice address
29795 THREE NOTCH RD, CHARLOTTE HALL, MD 20622-4106
(301) 290-0001
(301) 290-5633
Mailing address
29795 THREE NOTCH RD, CHARLOTTE HALL, MD 20622-4106
(301) 290-0001
(301) 290-5633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13931
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025761300
—
MD
Enumeration date
12/30/2014
Last updated
12/30/2014
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