# J KIM DDS AND R KIM DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Merrifield Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578721601
- **Authorized official:** DR. JERRY CHONGMIN KIM DDS (DENTIST/PRACTICE OWNER)
- **Authorized official phone:** (703) 876-4600

## Contact information

- **Practice address:** 8622 A LEE HWY, FAIRFAX, VA 22031
- **Practice address phone:** (703) 876-4600
- **Mailing address:** 8622 LEE HWY STE A, FAIRFAX, VA 22031
- **Mailing address phone:** (703) 876-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401007221 | VA | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 05/27/2008