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1053350116
WILSON KIM
MC LEAN, VA
NPI
1053350116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401411002)
Enumeration Date
2006-06-05
Last Update Date
2015-05-07
Business Address
Dr. WILSON KIM DDS
8251 GREENSBORO DR SUITE #102
MC LEAN, VA 22102-4900
Phone number: 702-992-7272
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Mailing Address
Dr. WILSON KIM DDS
1316 COLVIN FOREST DR
VIENNA, VA 22182-1318
Phone number: 917-449-2776
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