Individual
DR. KATHY DIPASQUALE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
15200 SHADY GROVE RD STE 408, ROCKVILLE, MD 20850-3218
(301) 926-4408
Mailing address
11716 PINDELL CHASE DR, FULTON, MD 20759-9704
(410) 979-4902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15447
MD
Other
Enumeration date
08/15/2013
Last updated
03/24/2019
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