Organization
LOGOS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID D KIM DDS (PRESIDENT)
(443) 350-9221
Entity
Organization
Contact information
Practice address
130 E PULASKI HWY, ELKTON, MD 21921-6430
(443) 350-9221
Mailing address
130 E PULASKI HWY, ELKTON, MD 21921-6430
(443) 350-9221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10839
MD
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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