Kim, Grace Eunheh

Kim, Grace Eunheh is an individual health care provider with primary practice located at 12165 Elm St , Princess Anne MD 21853-1358. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kim, Grace Eunheh can be contacted via phone (410) 651-5151.

Contact Information

Primary practice address
12165 Elm St Princess Anne MD 21853-1358
Phone: (410) 651-5151
Fax: (410) 651-4256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 16873 Maryland

Profile Details

NPI number 1023405305
LBN Legal business name Kim, Grace Eunheh
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2015
Last updated Oct 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023405305 NPPES
Maryland MEDICAID 119591300

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