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Individual

DR. KIM IERNA KITCHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
500 MONTGOMERY ST, SUITE 250, ALEXANDRIA, VA 22314-1565
(703) 836-7000
(703) 836-7432
Mailing address
500 MONTGOMERY ST, SUITE 250, ALEXANDRIA, VA 22314
(703) 836-7000
(703) 836-7432

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007329
VA

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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