Organization
AK ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA KIM DMD (ENDODONTIST)
(301) 366-2237
Entity
Organization
Contact information
Practice address
311 MAPLE AVE W STE J, VIENNA, VA 22180-4309
(301) 377-8306
Mailing address
311 MAPLE AVE W STE J, VIENNA, VA 22180-4309
(571) 669-4088
(301) 597-7757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/03/2022
Last updated
06/02/2026
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