PROF. Philip T Kim, DDS

NPI #1649447095 in Ellicott City, Maryland

Provider Information

NPI Number: 1649447095
Entity Type: Individual
Name: PROF. Philip T Kim, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 14, 2008
Last Updated: May 14, 2008

Practice Location

Address: 9005 CHEVROLET DR
Address 2: SUITE 3
City: Ellicott City
State: Maryland
ZIP Code: 21042-4009
Phone: (410) 465-6262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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