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DR. SANG YOON KIM DMD, MD

Dental Providers Dentist Oral and Maxillofacial Surgery

Provider NPI: 1992826333

Provider Information:
DR. SANG YOON KIM DMD, MD
Gender: M
Sole Proprietor

Practice Location:
361 MAPLE AVE W SUITE 200 VIENNA, VA 22180-4304 US
Tel: 703-255-9400  Fax: 703-255-4958

Business Mailing Address:
361 MAPLE AVE W SUITE 200 VIENNA, VA 22180-4304 US
Tel: 703-255-9400  Fax: 703-255-4958

NPI Information:
NPI: 1992826333
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
VA0401413454
Y204E00000XPhysicians
Oral & Maxillofacial Surgery
VA0101251217

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 204E00000X

Type:

Classification:



Definition:



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