Individual
SCOTT SEUNG YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
14333 LAUREL BOWIE RD STE 205, LAUREL, MD 20708-1179
(301) 953-1888
Mailing address
6201 GREENBELT RD STE M1, COLLEGE PARK, MD 20740-2358
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
16712
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2013
Last updated
05/27/2021
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