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Individual

DR. JOONGSEO KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
301 MAPLE AVE. WEST # 610, VIENNA, VA 22180
(703) 281-7011
(703) 281-7030
Mailing address
301 MAPLE AVE. WEST # 610, VIENNA, VA 22180
(703) 281-7011
(703) 281-7030

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12296
MD
1223G0001X
General Practice Dentistry
Primary
0401008847
VA

Other

Enumeration date
12/18/2006
Last updated
02/06/2022
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