Individual
BAWUL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5212 KINGS WOOD LN, KING GEORGE, VA 22485-5612
(540) 663-2221
Mailing address
5212 KINGS WOOD LN, KING GEORGE, VA 22485-5612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418430
VA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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