Organization
TIMOTHY KIM &THOMAS KIM, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS S KIM DDS (VICE PRESIDENT)
(703) 378-5777
Entity
Organization
Contact information
Practice address
5900 FORT DR STE 209, CENTREVILLE, VA 20121-2425
(703) 378-5777
(703) 378-5776
Mailing address
5900 FORT DR STE 209, CENTREVILLE, VA 20121-2425
(703) 378-5777
(703) 378-5776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410634
VA
1223G0001X
General Practice Dentistry
0401410757
VA
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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