Individual
DR. GAIL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0442000269
VA
1223P0221X
Pediatric Dentistry
0401415950
VA
1223P0221X
Pediatric Dentistry
Primary
DS042072
PA
Other
Enumeration date
06/16/2016
Last updated
02/12/2020
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