Individual
PROF. PHILIP T KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9005 CHEVROLET DR, SUITE 3, ELLICOTT CITY, MD 21042-4009
(410) 465-6262
(410) 465-6285
Mailing address
9005 CHEVROLET DR, SUITE 3, ELLICOTT CITY, MD 21042-4009
(410) 465-6262
(410) 465-6285
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10103
MD
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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