Individual
DR. HANSOL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 CLEVELAND AVE STE 5, MARTINSVILLE, VA 24112-3700
(276) 632-3963
Mailing address
101 CLEVELAND AVE STE 5, MARTINSVILLE, VA 24112-3700
(276) 632-3963
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418908
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2024
Last updated
06/11/2024
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