Organization
UNITED DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEONG HOON KIM (PRESIDENT)
(703) 992-7888
Entity
Organization
Contact information
Practice address
8133 LEESBURG PIKE STE 150, VIENNA, VA 22182-2730
(703) 992-7888
Mailing address
8133 LEESBURG PIKE STE 150, VIENNA, VA 22182-2730
(703) 992-7888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
VA
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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