Individual
DR. EUNYOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
10522 ROSEHAVEN ST, 113, FAIRFAX, VA 22030-2860
(646) 246-3869
Mailing address
10522 ROSEHAVEN ST, 113, FAIRFAX, VA 22030-2860
(646) 246-3869
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401412701
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
57677
CA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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