Individual
DR. WILSON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8251 GREENSBORO DR, SUITE #102, MC LEAN, VA 22102-4900
(702) 992-7272
(703) 992-7284
Mailing address
1316 COLVIN FOREST DR, VIENNA, VA 22182-1318
(917) 449-2776
(703) 992-7284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411002
VA
Other
Enumeration date
06/05/2006
Last updated
05/07/2015
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