Individual
KYLIE GISELLE SANTOS PELAYO-KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4939 COURTHOUSE ST, WILLIAMSBURG, VA 23188-2687
(757) 982-8193
Mailing address
4939 COURTHOUSE ST, WILLIAMSBURG, VA 23188-2687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417507
VA
Other
Enumeration date
06/07/2021
Last updated
03/01/2026
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