| Hodiah Dmd Llc | |
|
6100 Daylong Ln Ste 204 Clarksville MD 21029-1655 | |
| (667) 200-5912 | |
| (443) 546-3330 |
| Full Name | Hodiah Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 6100 Daylong Ln Ste 204, Clarksville, Maryland |
| Authorized Official Name and Position | Hyoung Keun Kim (DOCTOR) |
| Authorized Official Contact | 6672005912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hodiah Dmd Llc 6100 Daylong Ln Ste 204 Clarksville MD 21029-1655 Ph: (667) 200-5912 | Hodiah Dmd Llc 6100 Daylong Ln Ste 204 Clarksville MD 21029-1655 Ph: (667) 200-5912 |
| NPI Number | 1861057044 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 05/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861057044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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