# TIMOTHY KIM &THOMAS KIM, DDS, PC

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

## Provider details

- **NPI number:** 1497066229
- **Authorized official:** DR. THOMAS S KIM DDS (VICE PRESIDENT)
- **Authorized official phone:** (703) 378-5777

## Contact information

- **Practice address:** 5900 FORT DR STE 209, CENTREVILLE, VA 20121-2425
- **Practice address phone:** (703) 378-5777
- **Practice address fax:** (703) 378-5776
- **Mailing address:** 5900 FORT DR STE 209, CENTREVILLE, VA 20121-2425
- **Mailing address phone:** (703) 378-5777
- **Mailing address fax:** (703) 378-5776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410634 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 0401410757 | VA | — |

## Other

- **Enumeration date:** 06/25/2010
- **Last updated:** 06/25/2010