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Organization

J KIM DDS AND R KIM DDS PC

Active
Other names
Merrifield Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY CHONGMIN KIM DDS (DENTIST/PRACTICE OWNER)
(703) 876-4600
Entity
Organization

Contact information

Practice address
8622 A LEE HWY, FAIRFAX, VA 22031
(703) 876-4600
Mailing address
8622 LEE HWY STE A, FAIRFAX, VA 22031
(703) 876-4600

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007221
VA

Other

Enumeration date
05/27/2008
Last updated
05/27/2008
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