Individual
DR. SONNY SUNGHUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11876 SUNRISE VALLEY DRIVE, 101, RESTON, VA 20191
(703) 390-9191
(703) 390-8887
Mailing address
11876 SUNRISE VALLEY DRIVE, 101, RESTON, VA 20191
(703) 390-9191
(703) 390-8887
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007832
VA
1223G0001X
General Practice Dentistry
0401007832
VA
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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