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General NPI Number Information
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NPI Number | 1043109895
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Entity Type | Organization
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Legal Business Name | AK DMD LLC
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Dates
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Enumeration Date | 06/28/2025
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 711 W 40TH ST STE 215
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City | BALTIMORE
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State | MD
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Zip | 21211-2108
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Country | US
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Telephone | 410-235-8525
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Fax |
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Provider Business Mailing Address
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Address Line | 711 W 40TH ST STE 215
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City | BALTIMORE
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State | MD
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Zip | 21211-2108
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Country | US
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Telephone | 410-235-8525
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | MIN KYUNG KIM
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Credential | DMD
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Telephone | 778-388-9724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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