Individual
MRS. BO R KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1205 YORK RD STE 25A, TIMONIUM, MD 21093-6238
(410) 321-6120
Mailing address
1205 YORK RD STE 25A, TIMONIUM, MD 21093-6238
(410) 321-6120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15632
MD
Other
Enumeration date
07/28/2014
Last updated
10/07/2014
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