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Contact Information

DONGSUP KIM, DDS
9901 BRADDOCK RD
FAIRFAX, VA22032-1904
 Phone: 703-323-4024
 Fax: 703-323-4252
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for DONGSUP KIM · (Male)

NPI # 1336207554
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0401006468
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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