Individual
DR. JASON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
616 VIRGINIA BEACH BLVD STE 102, VIRGINIA BEACH, VA 23451-4274
(757) 769-7155
Mailing address
616 VIRGINIA BEACH BLVD STE 102, VIRGINIA BEACH, VA 23451-4274
(757) 769-7155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416823
VA
Other
Enumeration date
07/12/2015
Last updated
02/11/2020
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