Organization
HAE SOOK KIM DMD LLC
Active
Other names
Tender Care Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAE SOOK KIM DMD (OWNER)
(301) 290-0001
Entity
Organization
Contact information
Practice address
29795 THREE NOTCH RD, CHARLOTTE HALL, MD 20622-4106
(301) 290-0001
(301) 290-5633
Mailing address
29795 THREE NOTCH RD, CHARLOTTE HALL, MD 20622-4106
(301) 290-0001
(301) 290-5633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13931
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025761300
—
MD
Enumeration date
12/30/2014
Last updated
12/30/2014
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