Individual
CHRISTINE J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 383-8300
(410) 383-3160
Mailing address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 383-8300
(410) 383-3160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17068
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
249654200
—
MD
Enumeration date
10/01/2018
Last updated
10/25/2021
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