Individual
GLORIA SEON-YOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
24805 PINEBROOK RD # 311, CHANTILLY, VA 20152
(703) 574-9070
Mailing address
24805 PINEBROOK RD # 311, CHANTILLY, VA 20152-4126
(703) 574-9070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412723
VA
Other
Enumeration date
07/14/2009
Last updated
07/26/2018
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