| Dana Kim, Dmd, Llc | |
|
29795 Three Notch Rd Charlotte Hall MD 20622-4106 | |
| (301) 290-0001 | |
| (301) 290-5633 |
| Full Name | Dana Kim, Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 29795 Three Notch Rd, Charlotte Hall, Maryland |
| Authorized Official Name and Position | Audra Keeler (OFFICE MANAGER) |
| Authorized Official Contact | 3012900001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Kim, Dmd, Llc 29795 Three Notch Rd Charlotte Hall MD 20622-4106 Ph: (301) 290-0001 | Dana Kim, Dmd, Llc 29795 Three Notch Rd Charlotte Hall MD 20622-4106 Ph: (301) 290-0001 |
| NPI Number | 1023517539 |
|---|---|
| Provider Enumeration Date | 02/09/2018 |
| Last Update Date | 02/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023517539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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