Individual
DANIEL S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
1575 HIGHLANDS DR STE 106, LITITZ, PA 17543-7507
(267) 261-8796
Mailing address
104 MORNING DR, EPHRATA, PA 17522-8452
(267) 261-8796
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS044771
PA
208600000X
Surgery Physician
MD486291
PA
Other
Enumeration date
04/12/2017
Last updated
09/04/2024
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