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Individual

DR. YOUNGDAE KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5417D BACKLICK RD, SPRINGFIELD, VA 22151-3915
(703) 988-3386
(703) 988-3389
Mailing address
5417D BACKLICK RD, SPRINGFIELD, VA 22151-3915
(703) 988-3386
(703) 988-3389

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415145
VA
1223G0001X
General Practice Dentistry
DS039841
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/10/2014
Last updated
08/01/2016
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