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Individual

DR. HAE WAN KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
7951 CRAIN HWY S, GLEN BURNIE, MD 21061-4934
(410) 969-9090
(410) 969-9055
Mailing address
7951 CRAIN HWY S, GLEN BURNIE, MD 21061-4934
(410) 969-9090
(410) 969-9055

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14267
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024168700
MD
Enumeration date
07/02/2008
Last updated
10/22/2014
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