Organization
APPLE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAE SOO KIM D.M.D (PRESIDENT)
(215) 699-3700
Entity
Organization
Contact information
Practice address
275 DEKALB PIKE, UNIT 101, NORTH WALES, PA 19454-1806
(215) 699-3700
Mailing address
275 DEKALB PIKE, UNIT 101, NORTH WALES, PA 19454-1806
(215) 699-3700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 036075
PA
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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