| Bloomindental. | |
|
20630 Ashburn Rd Ste 196 Ashburn VA 20147-5626 | |
| (410) 900-2545 | |
| Not Available |
| Full Name | Bloomindental. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20630 Ashburn Rd Ste 196, Ashburn, Virginia |
| Authorized Official Name and Position | Min Seong Kim (OWNER DENTIST) |
| Authorized Official Contact | 4109002545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomindental. 4001 9th St N Apt 508 Arlington VA 22203-1959 | Bloomindental. 20630 Ashburn Rd Ste 196 Ashburn VA 20147-5626 Ph: (410) 900-2545 |
| NPI Number | 1134085087 |
|---|---|
| Provider Enumeration Date | 01/05/2026 |
| Last Update Date | 01/05/2026 |
| Certification Date | 01/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134085087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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