Individual
YOUNGCHUL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 BELAIR RD STE 104, BALTIMORE, MD 21213-1200
(617) 304-9839
Mailing address
430 W ERIE ST STE 200, CHICAGO, IL 60654-6920
(920) 838-1649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14672
MD
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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