# GRACE DENTAL CLINIC, P.A.

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

## Provider details

- **NPI number:** 1578736955
- **Authorized official:** DR. CHRISTOPHER KEUNYOUNG YOO D.M.D. (DENTIST)
- **Authorized official phone:** (410) 997-5699

## Contact information

- **Practice address:** 8850 COLUMBIA 100 PKWY, SUITE 201, COLUMBIA, MD 21045-2374
- **Practice address phone:** (410) 997-5699
- **Practice address fax:** (410) 997-5633
- **Mailing address:** 8850 COLUMBIA 100 PKWY, SUITE 201, COLUMBIA, MD 21045-2374
- **Mailing address phone:** (410) 997-5699
- **Mailing address fax:** (410) 997-5633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 13555 | MD | Yes |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 04/08/2008