DR. Bophary Kim Ea-Lim, DDS

NPI #1235149006 in Fairfax, Virginia

Provider Information

NPI Number: 1235149006
Entity Type: Individual
Name: DR. Bophary Kim Ea-Lim, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4001 FAIR RIDGE DR
Address 2: SUITE 105
City: Fairfax
State: Virginia
ZIP Code: 22033
Phone: (703) 352-0741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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