Individual
SE-LIM OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
650 W BALTIMORE ST, ROOM 3215, BALTIMORE, MD 21201-1510
(410) 706-3708
Mailing address
8210 OAK LAWN DR., LAUREL, MD 20723-0000
(410) 971-8061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411654
VA
122300000X
Dentist
Primary
65
MD
Other
Enumeration date
04/24/2007
Last updated
04/11/2011
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