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Organization
YOUNG KIM DDS OF LAKE MANASSAS PLLC
Active
Organization
YOUNG KIM DDS OF LAKE MANASSAS PLLC
Active
Other names
Lake Manassas Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG KIM DDS (OWNER)
(571) 261-9470
Entity
Organization
Contact information
Practice address
7915 LAKE MANASSAS DR STE 115, GAINESVILLE, VA 20155-3259
(571) 261-9470
Mailing address
41713 MCMONAGLE SQ, ALDIE, VA 20105-6028
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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