Organization
PEARBRITE DENTAL INC.
Active
Other names
pearlbrite dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOONGSEO KIM (OWNER/ DOCTOR)
(703) 281-7011
Entity
Organization
Contact information
Practice address
301 MAPLE AVE W STE 610, VIENNA, VA 22180-4300
(703) 587-4865
Mailing address
301 MAPLE AVE W STE 610, VIENNA, VA 22180-4300
(703) 587-4865
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
0401413569
VA
1223P0700X
Prosthodontics
Primary
0401008847
VA
1223P0700X
Prosthodontics
12296
MD
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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