# KIM QUY DO DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003226655
- **Authorized official:** KIM DO (DDS)
- **Authorized official phone:** (703) 876-2606

## Contact information

- **Practice address:** 8303 ARLINGTON BLVD STE 101, FAIRFAX, VA 22031-2903
- **Practice address phone:** (703) 876-2606
- **Mailing address:** 8303 ARLINGTON BLVD STE 101, FAIRFAX, VA 22031-2903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401006973 | VA | Yes |

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 05/28/2014
