Individual
DR. JAE HYUNG LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8472 SIMMOND ST, FORT MEADE, MD 20755-5700
(301) 677-7316
Mailing address
8472 SIMMOND ST, FORT MEADE, MD 20755-5700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11725
CT
Other
Enumeration date
05/03/2016
Last updated
10/29/2024
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