Individual
DR. RICHARD JAY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400 GALLERIA PKWY SE, SUITE 800, ATLANTA, GA 30339-5980
(678) 904-5665
(678) 904-5665
Mailing address
858 CLUB RIDGE TER, CHESTER, VA 23836-2746
(804) 530-0245
(804) 530-0245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412329
VA
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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