Organization
YK DENTAL CENTREVILLE PC
Active
Other names
YK Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNGDAE KIM DMD (OWNER DENTIST)
(703) 300-3548
Entity
Organization
Contact information
Practice address
14701 LEE HWY STE 306, CENTREVILLE, VA 20121-2135
(571) 357-0496
Mailing address
14701 LEE HWY STE 306, CENTREVILLE, VA 20121-2135
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401415145
VA
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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