Individual
MICHAEL M. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4600 JOHN MARR DR STE 302, ANNANDALE, VA 22003-3310
(703) 658-4211
(703) 658-4213
Mailing address
4600 JOHN MARR DR STE 302, ANNANDALE, VA 22003-3310
(703) 658-4211
(703) 658-4213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007750
VA
Other
Enumeration date
07/24/2006
Last updated
11/19/2008
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