Christine J Kim, DMD | |
1501 Division St, Baltimore, MD 21217-3121 | |
(410) 383-8300 | |
(410) 383-3160 |
Full Name | Christine J Kim |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 1501 Division St, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518442086 | NPI | - | NPPES |
249654200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 17068 (Maryland) | Primary |
Entity Name | Greater Philadelphia Health Action Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205140902 PECOS PAC ID: 9537064977 Enrollment ID: O20110602000389 |
Mailing Address | Practice Location Address |
---|---|
Christine J Kim, DMD 1501 Division St, Baltimore, MD 21217-3121 Ph: (410) 383-8300 | Christine J Kim, DMD 1501 Division St, Baltimore, MD 21217-3121 Ph: (410) 383-8300 |
Fred Matthew Lee, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 650 W Baltimore St Ste 6402, Baltimore, MD 21201 Phone: 410-706-7461 | |
Dr. Nicholas Sewell Bennett, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 10 N Greene St, 2-d-137, Baltimore, MD 21201 Phone: 410-605-7056 | |
Michael A White, DDS Dentist Medicare: Medicare Enrolled Practice Location: 200 E 33rd St, Suite 284, Baltimore, MD 21218 Phone: 410-235-0062 Fax: 410-235-1495 | |
Stanley Klein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2215 Ken Oak Road, Baltimore, MD 21209 Phone: 443-271-3682 | |
Adrian A Sanchez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 817 Maiden Choice Ln, Suite 220, Baltimore, MD 21228 Phone: 410-719-9641 | |
Dr. William Edward Leboe, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5 E Henrietta St, Baltimore, MD 21230 Phone: 410-659-0616 Fax: 410-539-1433 | |
Mr. Brian Toms Wycall, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3701 Eastern Ave, Baltimore, MD 21224 Phone: 410-327-7639 Fax: 410-342-8093 |