Organization
YK DENTAL CHANTILLY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNGDAE KIM MS, DMD (PRESIDENT)
(703) 300-3548
Entity
Organization
Contact information
Practice address
4265B BROOKFIELD CORPORATE DR, CHANTILLY, VA 20151-1696
(703) 848-5555
(703) 574-1611
Mailing address
4265B BROOKFIELD CORPORATE DR, CHANTILLY, VA 20151-1696
(703) 848-5555
(703) 574-1611
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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