Organization
MKIM DENTAL LLC
Active
Other names
SmileWell
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN KIM (OWNER)
(703) 307-3668
Entity
Organization
Contact information
Practice address
5230 TUCKERMAN LN STE 105, NORTH BETHESDA, MD 20852-3871
(703) 307-3668
Mailing address
8401 GOLD SUNSET WAY, COLUMBIA, MD 21045-7407
(703) 307-3668
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
10/02/2024
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