Organization
CHO, FORMICA, LOVE & ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE KIM DDS (DENTIST)
(301) 262-3535
Entity
Organization
Contact information
Practice address
3233 SUPERIOR LN, BOWIE, MD 20715-1920
(301) 262-3535
(301) 464-3478
Mailing address
3233 SUPERIOR LN, BOWIE, MD 20715-1920
(301) 262-3535
(301) 464-3478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285040998
NPI
MD
01
—
1457627838
NPI
MD
01
—
1528334034
NPI
MD
Enumeration date
02/04/2021
Last updated
02/04/2021
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