| Kwang W Kim, Dds, Pllc | |
|
410 Mineral St South Boston VA 24592-3716 | |
| (434) 572-4928 | |
| (434) 575-0302 |
| Full Name | Kwang W Kim, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 Mineral St, South Boston, Virginia |
| Authorized Official Name and Position | Kwang Kim (DENTIST) |
| Authorized Official Contact | 4345724928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kwang W Kim, Dds, Pllc 410 Mineral St South Boston VA 24592-3716 Ph: (434) 572-4928 | Kwang W Kim, Dds, Pllc 410 Mineral St South Boston VA 24592-3716 Ph: (434) 572-4928 |
| NPI Number | 1255061909 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 06/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255061909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
William D. Owen, Jr.,dds & Debra G. Claycomb,dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 Main St, South Boston, VA 24592 Phone: 434-572-3205 Fax: 434-572-8566 | |
Halifax Regional Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-8361 Fax: 434-517-8367 |