Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DS038830 | PA |
NPI | 1003196924 |
---|---|
Provider Name | Mee Kyung Lim |
First Address | Fort Washington, PA 19034-2714 |
Second Address | Harleysville, PA 19438-1703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2011 |
Last Update Date | 19/02/2013 |