Gloria Kidz Dental Llc

LBN: Gloria Kidz Dental Llc
Gloria Kidz Dental Llc is an health care organization with primary practice located at 7951 Crain Hwy S , Glen Burnie MD 21061-4934. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Gloria Kidz Dental Llc can be contacted via phone (410) 969-9090, or through Kim, Hae Wan via phone (410) 969-9090.

Contact Information

Primary practice address
7951 Crain Hwy S Glen Burnie MD 21061-4934
Phone: (410) 969-9090
Fax: (410) 969-9055
Website:
Map and Directions
Authorized official contact:
Name: Kim, Hae Wan Doctor of Dental Surgery (DDS)
Phone: (410) 969-9090

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 14267 Maryland

Profile Details

NPI number 1568775880
LBN Legal business name Gloria Kidz Dental Llc
DBA Doing business as
Authorized official Kim, Hae Wan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2010
Last updated Nov 14th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568775880 NPPES
Maryland MEDICAID 024168700

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