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Organization
DELRAY PROSTHODONTICS CENTER
Active
Organization
DELRAY PROSTHODONTICS CENTER
Active
Other names
Dental excellence Integrative Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOONGSEO KIM D.D.S (OWNER)
(703) 587-4865
Entity
Organization
Contact information
Practice address
3116 MOUNT VERNON AVE, ALEXANDRIA, VA 22305-2639
(703) 745-5496
Mailing address
3116 MOUNT VERNON AVE, ALEXANDRIA, VA 22305-2639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
02/06/2022
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