Individual
GYEONGWON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 WARREN RD STE 330, COCKEYSVILLE, MD 21030-2535
(410) 666-5225
Mailing address
1565 LOWMAN ST, BALTIMORE, MD 21230-5609
(970) 685-9673
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17951
MD
Other
Enumeration date
05/29/2019
Last updated
03/06/2024
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