Individual
DR. KYU WON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4480 KING ST, ALEXANDRIA, VA 22302-1300
(571) 429-2373
Mailing address
1 MEMORY CT, SILVER SPRING, MD 20904-6859
(434) 227-6909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413863
VA
Other
Enumeration date
07/03/2013
Last updated
09/16/2015
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