| NPI | 1811571318 |
|---|---|
| Doing Business As | PLOVER PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HAE JIN KIM Pediatric Dentist 240-642-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-11-30 |