Individual
DR. ANDREW YOUNGHO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 MAPLE AVE W, SUIT M, VIENNA, VA 22180-4307
(703) 281-1090
Mailing address
5709 WALNUT WOOD LN, BURKE, VA 22015-2710
(571) 344-4631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411574
VA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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