Individual
DR. KWANG W KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 MINERAL ST, SOUTH BOSTON, VA 24592-3716
(434) 572-4928
(434) 572-4929
Mailing address
410 MINERAL ST, SOUTH BOSTON, VA 24592-3716
(434) 572-4928
(434) 572-4929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412824
VA
Other
Enumeration date
06/14/2010
Last updated
02/03/2011
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