Individual
JENNIFER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3903 FAIR RIDGE DR STE 212, FAIRFAX, VA 22033-2944
(703) 865-6880
(703) 865-6889
Mailing address
3903 FAIR RIDGE DR STE 212, FAIRFAX, VA 22033-2944
(703) 865-6880
(703) 865-6889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412307
VA
Other
Enumeration date
04/02/2008
Last updated
06/05/2020
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