Individual
KEN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8801 BALTIMORE NATIONAL PIKE #17, ELLICOTT CITY, MD 21043
(410) 461-2424
Mailing address
8801 BALTIMORE NATIONAL PIKE STE 17, ELLICOTT CITY, MD 21043-4160
(410) 461-2424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12964
MD
Other
Enumeration date
01/22/2007
Last updated
03/09/2010
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