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
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 17951 (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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Cockeysville
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- Julius Hyatt, DDSOral and Maxillofacial Surgery (Dentist) Cockeysville, MD NPI 1700814068
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- Andrew NadenOral and Maxillofacial Surgery (Dentist) Cockeysville, MD NPI 1982104329
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.