| Daewonkim Dds, Pa | |
|
736 Revolution St Havre De Grace MD 21078-3322 | |
| (410) 939-3890 | |
| Not Available |
| Full Name | Daewonkim Dds, Pa |
|---|---|
| Speciality | Dentist |
| Location | 736 Revolution St, Havre De Grace, Maryland |
| Authorized Official Name and Position | David D Kim (PRESIDENT) |
| Authorized Official Contact | 4109393890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daewonkim Dds, Pa 736 Revolution St Havre De Grace MD 21078-3322 Ph: (410) 939-3890 | Daewonkim Dds, Pa 736 Revolution St Havre De Grace MD 21078-3322 Ph: (410) 939-3890 |
| NPI Number | 1912100157 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912100157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10839 (Maryland) | Primary |
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