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Individual

TERRY KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
13505 CONNECTICUT AVE, ASPEN HILL, MD 20906-2912
(301) 438-0555
(301) 438-0556
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2585
MD

Other

Enumeration date
06/08/2017
Last updated
12/10/2021
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