| Young Kim Dds Of Lake Manassas Pllc | |
|
7915 Lake Manassas Dr Ste 115 Gainesville VA 20155-3259 | |
| (571) 261-9470 | |
| Not Available |
| Full Name | Young Kim Dds Of Lake Manassas Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7915 Lake Manassas Dr Ste 115, Gainesville, Virginia |
| Authorized Official Name and Position | Young Kim (OWNER) |
| Authorized Official Contact | 5712619470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Kim Dds Of Lake Manassas Pllc 41713 Mcmonagle Sq Aldie VA 20105-6028 Ph: () - | Young Kim Dds Of Lake Manassas Pllc 7915 Lake Manassas Dr Ste 115 Gainesville VA 20155-3259 Ph: (571) 261-9470 |
| NPI Number | 1811683667 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 04/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811683667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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