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1023090347
JIM J IM
ANDREWS AFB, MD
NPI
1023090347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MD 13490)
Enumeration Date
2005-11-14
Last Update Date
2007-07-08
Business Address
-- JIM J IM D.D.S.
79TH DS BLDG 1601
ANDREWS AFB, MD 20762
Phone number: 240-857-5029
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Mailing Address
-- JIM J IM D.D.S.
9320 VAN GUARD CT
OWINGS MILLS, MD 21117-8291
Phone number: 714-833-0536
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