Individual
LAUREN ELIZABETH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
7808 WOOD WAY CT, RALEIGH, NC 27606-9355
(919) 208-8142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419575
VA
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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