Individual
SE JONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
1107 NELSON ST, ROCKVILLE, MD 20850-2031
(301) 424-2031
Mailing address
1107 NELSON ST, ROCKVILLE, MD 20850-2031
(412) 651-8614
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
15878
MD
Other
Enumeration date
04/16/2016
Last updated
09/08/2016
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