| Silver Spring Dental Clinic Llc | |
|
11120 New Hampshire Ave #301 Silver Spring MD 20904-2633 | |
| (301) 593-6505 | |
| (301) 593-8237 |
| Full Name | Silver Spring Dental Clinic Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11120 New Hampshire Ave, Silver Spring, Maryland |
| Authorized Official Name and Position | Shin Kim (DENTIST) |
| Authorized Official Contact | 3015936505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Spring Dental Clinic Llc 11120 New Hampshire Ave #301 Silver Spring MD 20904-2633 Ph: (301) 593-6505 | Silver Spring Dental Clinic Llc 11120 New Hampshire Ave #301 Silver Spring MD 20904-2633 Ph: (301) 593-6505 |
| NPI Number | 1578898680 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 05/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578898680 | NPI | - | NPPES |
| 9199891 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12298 (Maryland) | Primary |
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