Individual
DR. JAE S. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1025 N FILLMORE ST, A, ARLINGTON, VA 22201-6701
(703) 243-7744
Mailing address
1025 N FILLMORE ST, A, ARLINGTON, VA 22201-6701
(703) 243-7744
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61791
CA
1223G0001X
General Practice Dentistry
Primary
0401415308
VA
Other
Enumeration date
01/15/2013
Last updated
09/26/2016
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