Individual
MIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1580 WESEL BLVD, HAGERSTOWN, MD 21740-2503
(240) 329-0172
Mailing address
1101 HIGGINS PL APT 200, ROCKVILLE, MD 20852-6726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16479
MD
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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