Organization
SILVER SPRING DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIN KIM D.M.D (DENTIST)
(301) 593-6505
Entity
Organization
Contact information
Practice address
11120 NEW HAMPSHIRE AVE, #301, SILVER SPRING, MD 20904-2633
(301) 593-6505
(301) 593-8237
Mailing address
11120 NEW HAMPSHIRE AVE, #301, SILVER SPRING, MD 20904-2633
(301) 593-6505
(301) 593-8237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12298
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9199891
—
MD
Enumeration date
10/07/2009
Last updated
05/09/2012
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