Individual
DR. HANWOOL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8303 ARLINGTON BLVD STE 104, FAIRFAX, VA 22031-2903
(703) 207-0700
Mailing address
8059 ASHLAND AVE APT 11, MANASSAS, VA 20109-8059
(703) 717-8408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416449
VA
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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