Organization
EAST FALLS FAMILY DENTISTRY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYOSUN KIM D.M.D (MEMBER)
(610) 425-7170
Entity
Organization
Contact information
Practice address
306 GLENN ROSE BLVD, KING OF PRUSSIA, PA 19406-5700
(610) 425-7170
Mailing address
3500 SUNNYSIDE AVE, PHILADELPHIA, PA 19129-1628
(215) 849-1826
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS037181
PA
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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