Individual provider · Type 1 NPI

Gyeongwon Kim

Oral and Maxillofacial Surgery (Dentist) · Cockeysville, MD

NPI number 1669030391 Active

Practice location

10 Warren Rd Ste 330
Cockeysville, MD 21030-2535

Mailing address

1565 Lowman St
Baltimore, MD 21230-5609

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X17951 (MD)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1669030391

Gyeongwon Kim's National Provider Identifier is 1669030391, issued on May 29, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cockeysville, MD. The record was last updated on Mar 6, 2024.