Organization
FAMILY DENTISTRY OF EXETER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOOSON E KIM DMD (OWNER)
(610) 370-5955
Entity
Organization
Contact information
Practice address
90 GIBRALTAR RD, READING, PA 19606-9460
(610) 370-5955
(610) 370-5957
Mailing address
90 GIBRALTAR RD, READING, PA 19606-9460
(610) 370-5955
(610) 370-5957
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023088408
INDIVIDUAL NPI
PA
Enumeration date
03/18/2020
Last updated
03/18/2020
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