Individual
DR. LILA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
9010 LORTON STATION BLVD STE 140, LORTON, VA 22079-4794
(703) 436-4633
Mailing address
9010 LORTON STATION BLVD STE 140, LORTON, VA 22079-4794
(703) 436-4633
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401418353
VA
Other
Enumeration date
02/08/2007
Last updated
08/01/2023
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