Individual
TIFFANY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
400 MARVEL CT, EASTON, MD 21601-4052
(410) 412-3339
Mailing address
400 MARVEL CT, EASTON, MD 21601-4052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16774
MD
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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