Individual
ALEXANDER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4494 N PALMER ROAD WRNMMC BULIDING 9 RM 2670, BETHESDA, MD 20889-0001
(800) 526-7101
Mailing address
8300 WISCONSIN AVE APT 945, BETHESDA, MD 20814-3296
(773) 372-6223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031219
IL
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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