# DR. KIM IERNA KITCHEN, P.C.

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

## Provider details

- **NPI number:** 1134339328
- **Authorized official:** DR. KIM IERNA KITCHEN DDS (OFFICER)
- **Authorized official phone:** (703) 836-7000

## Contact information

- **Practice address:** 500 MONTGOMERY ST, SUITE 250, ALEXANDRIA, VA 22314-1565
- **Practice address phone:** (703) 836-7000
- **Practice address fax:** (703) 836-7432
- **Mailing address:** 500 MONTGOMERY ST, SUITE 250, ALEXANDRIA, VA 22314-1565
- **Mailing address phone:** (703) 836-7000
- **Mailing address fax:** (703) 836-7432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401007329 | VA | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 06/18/2008