Organization
BLESSED SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AILEEN C KIM DDS (DENTIST)
(703) 823-8812
Entity
Organization
Contact information
Practice address
5249 DUKE ST STE L-10, ALEXANDRIA, VA 22304-2926
(703) 823-8812
(703) 823-8813
Mailing address
5249 DUKE ST STE L-10, ALEXANDRIA, VA 22304-2926
(703) 823-8812
(703) 823-8813
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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