Organization
KIM QUY DO DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DO (DDS)
(703) 876-2606
Entity
Organization
Contact information
Practice address
8303 ARLINGTON BLVD STE 101, FAIRFAX, VA 22031-2903
(703) 876-2606
Mailing address
8303 ARLINGTON BLVD STE 101, FAIRFAX, VA 22031-2903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006973
VA
Other
Enumeration date
05/05/2014
Last updated
05/28/2014
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