Individual
DR. DONGSUP KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9901 BRADDOCK RD, FAIRFAX, VA 22032-1904
(703) 323-4024
(703) 323-4252
Mailing address
9901 BRADDOCK RD, FAIRFAX, VA 22032-1904
(703) 323-4024
(703) 323-4252
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0401006468
VA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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