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1750459988
JERRY CHONGMIN KIM
FAIRFAX, VA
NPI
1750459988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401007221)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
Dr. JERRY CHONGMIN KIM DDS
8622 LEE HWY STE A
FAIRFAX, VA 22031-2148
Phone number: 703-876-4600
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Mailing Address
Dr. JERRY CHONGMIN KIM DDS
10243 BRITTENFORD DR
VIENNA, VA 22182-1867
Phone number: 703-716-0769
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