J Kim DDS and R Kim DDS PC

NPI #1578721601 in Fairfax, Virginia

Provider Information

NPI Number: 1578721601
Entity Type: Organization
Organization Name: J Kim DDS and R Kim DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 27, 2008
Last Updated: May 27, 2008

Practice Location

Address: 8622 A LEE HWY
City: Fairfax
State: Virginia
ZIP Code: 22031
Phone: (703) 876-4600

Authorized Official

Name: DR. JERRY CHONGMIN KIM, DDS
Title: DENTIST/PRACTICE OWNER
Phone: (703) 876-4600

Specialties & Taxonomy Codes

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

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