Individual
JOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8133 LEESBURG PIKE, VIENNA, VA 22182-2751
(703) 992-7888
Mailing address
8133 LEESBURG PIKE, VIENNA, VA 22182-2751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414524
VA
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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