Organization
HANOVER PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAEPIL KIM DDS (PEDIATRIC DENTIST)
(410) 756-0859
Entity
Organization
Contact information
Practice address
250 FAME AVE STE 206A, HANOVER, PA 17331-1576
(410) 756-0859
Mailing address
785 GRANDON WAY, MECHANICSBURG, PA 17050-9124
(917) 273-5233
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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