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General NPI Number Information
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NPI Number | 1487516571
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Entity Type | Organization
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Legal Business Name | HYUN DONG KIM DDS LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 9275 BALTIMORE NATIONAL PIKE STE 103
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-3943
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Country | US
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Telephone | 410-461-3747
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Fax |
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Provider Business Mailing Address
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Address Line | 9275 BALTIMORE NATIONAL PIKE STE 103
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-3943
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Country | US
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Telephone | 410-461-3747
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DAVID KIM
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Credential | DDS
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Telephone | 734-846-4863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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