Organization
MOCO PEDIATRIC DENTISTRY LLC
Active
Other names
Plover Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
HAE JIN KIM DDS (PEDIATRIC DENTIST)
(240) 642-3161
Entity
Organization
Contact information
Practice address
11325 SEVEN LOCKS RD STE 250, POTOMAC, MD 20854-3269
(406) 423-1612
(240) 642-3161
Mailing address
11325 SEVEN LOCKS RD STE 250, POTOMAC, MD 20854-3269
(240) 642-3161
(240) 642-3162
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
11/30/2021
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