Individual
DR. DAVID DAEWON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
736 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3322
(410) 939-3890
(410) 939-7671
Mailing address
455 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3330
(410) 939-3890
(410) 939-7671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10839
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081934400
—
MD
Enumeration date
01/29/2007
Last updated
05/08/2024
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