| Dong S Kim Dmd, Pc | |
|
1407 York Rd # 308 Lutherville MD 21093 | |
| (410) 769-9333 | |
| (410) 769-9334 |
| Full Name | Dong S Kim Dmd, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1407 York Rd # 308, Lutherville, Maryland |
| Authorized Official Name and Position | Dong Soo Kim (PRESIDENT) |
| Authorized Official Contact | 4107699333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dong S Kim Dmd, Pc 1407 York Rd # 308 Lutherville MD 21093 Ph: (410) 769-9333 | Dong S Kim Dmd, Pc 1407 York Rd # 308 Lutherville MD 21093 Ph: (410) 769-9333 |
| NPI Number | 1033213491 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033213491 | NPI | - | NPPES |
| 071507700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13007 (Maryland) | Primary |
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