Organization
PETER HD KIM, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JINA KIM (OFFICE MANAGER)
(703) 583-4466
Entity
Organization
Contact information
Practice address
14136 MINNIEVILLE RD, WOODBRIDGE, VA 22193-2313
(703) 583-4466
(703) 583-4477
Mailing address
14136 MINNIEVILLE RD, WOODBRIDGE, VA 22193-2313
(703) 583-4466
(703) 583-4477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10073
VA
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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