Siwoo Kim

NPI #1558112151 in Gaithersburg, Maryland

Provider Information

NPI Number: 1558112151
Entity Type: Individual
Name: Siwoo Kim
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Apr 1, 2024
Last Updated: Aug 7, 2025

Practice Location

Address: 10201 WASHINGTONIAN BLVD APT 514
City: Gaithersburg
State: Maryland
ZIP Code: 20878-8310
Phone: (443) 996-0507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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