| Yk Dental Care | |
|
14701 Lee Hwy Ste 306 Centreville VA 20121-2135 | |
| (571) 357-0496 | |
| Not Available |
| Full Name | Yk Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14701 Lee Hwy Ste 306, Centreville, Virginia |
| Authorized Official Name and Position | Youngdae Kim (OWNER DENTIST) |
| Authorized Official Contact | 7033003548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yk Dental Care 14701 Lee Hwy Ste 306 Centreville VA 20121-2135 Ph: () - | Yk Dental Care 14701 Lee Hwy Ste 306 Centreville VA 20121-2135 Ph: (571) 357-0496 |
| NPI Number | 1528558350 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 05/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528558350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401415145 (Virginia) | Primary |
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