Organization
DONG S KIM DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONG SOO KIM DMD (PRESIDENT)
(410) 769-9333
Entity
Organization
Contact information
Practice address
1407 YORK RD # 308, LUTHERVILLE, MD 21093
(410) 769-9333
(410) 769-9334
Mailing address
1407 YORK RD # 308, LUTHERVILLE, MD 21093
(410) 769-9333
(410) 769-9334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13007
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071507700
—
MD
Enumeration date
09/07/2006
Last updated
11/29/2023
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