Organization
YOUNG KIM DDS OF CENTREVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG KIM DDS (OWNER)
(704) 941-4332
Entity
Organization
Contact information
Practice address
13880 BRADDOCK RD STE 311, CENTREVILLE, VA 20121-2462
(704) 941-4332
Mailing address
41713 MCMONAGLE SQ, ALDIE, VA 20105-6028
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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