Organization
HJ KIM DDS, PA
Active
Other names
Smart Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEEJUNG KIM (OWNER)
(410) 740-1484
Entity
Organization
Contact information
Practice address
9501 OLD ANNAPOLIS RD, STE. 200 A, ELLICOTT CITY, MD 21042-6314
(410) 740-1484
(410) 740-1486
Mailing address
9501 OLD ANNAPOLIS RD, STE. 200 A, ELLICOTT CITY, MD 21042-6314
(410) 740-1484
(410) 740-1486
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13733
MD
1223D0001X
Public Health Dentistry
13733
MD
1223G0001X
General Practice Dentistry
Primary
13733
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
13733
MD
126800000X
Dental Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028082800
—
MD
Enumeration date
01/21/2010
Last updated
01/21/2010
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