Organization
YKIM DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONGHYUN KIM D.M.D. (PRESIDENT/DIRECTOR)
(703) 801-6991
Entity
Organization
Contact information
Practice address
2680 OPTIZ BLVD., SUITE 120, WOODBRIDGE, VA 22192
(703) 801-6991
Mailing address
11410 ALESSI DR, MANASSAS, VA 20112
(703) 801-6991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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