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8118 Old York Rd Elkins Park PA 19027-1423 | |
| (215) 635-6900 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 8118 Old York Rd, Elkins Park, Pennsylvania |
| Authorized Official Name and Position | Yongkun Kim (MEMBER) |
| Authorized Official Contact | 2156356900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8118 Old York Rd Elkins Park PA 19027-1423 Ph: (215) 635-6900 | 8118 Old York Rd Elkins Park PA 19027-1423 Ph: (215) 635-6900 |
| NPI Number | 1104942101 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104942101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS029026L (Pennsylvania) | Primary |
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