JERRY CHONGMIN KIM

FAIRFAX, VA
NPI1750459988
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401007221)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
Dr. JERRY CHONGMIN KIM DDS
8622 LEE HWY STE A
FAIRFAX, VA 22031-2148
Phone number: 703-876-4600
Mailing Address
Dr. JERRY CHONGMIN KIM DDS
10243 BRITTENFORD DR
VIENNA, VA 22182-1867
Phone number: 703-716-0769
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