| Young Kim Dds Of Centreville Pllc | |
|
13880 Braddock Rd Ste 311 Centreville VA 20121-2462 | |
| (704) 941-4332 | |
| Not Available |
| Full Name | Young Kim Dds Of Centreville Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13880 Braddock Rd Ste 311, Centreville, Virginia |
| Authorized Official Name and Position | Young Kim (OWNER) |
| Authorized Official Contact | 7049414332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Kim Dds Of Centreville Pllc 41713 Mcmonagle Sq Aldie VA 20105-6028 Ph: () - | Young Kim Dds Of Centreville Pllc 13880 Braddock Rd Ste 311 Centreville VA 20121-2462 Ph: (704) 941-4332 |
| NPI Number | 1609619774 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609619774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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