Individual
JIHOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2927 STUARTS DRAFT HWY STE 105, STUARTS DRAFT, VA 24477-2796
(540) 414-8423
Mailing address
926 RAINIER RD, CHARLOTTESVILLE, VA 22903-4000
(801) 815-7772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418915
VA
Other
Enumeration date
07/21/2023
Last updated
12/05/2024
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