Search › Virginia › 1223G0001X
Jae Kim, DDS
NPI 1215274865 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1025 N Fillmore St
A
Arlington, VA 22201 - Phone
- (703) 243-7744
- Organisation at this address
- Elite Dental
Elite Dental
The Revival Reserve
Virginia Dental Center
Virginia Center For Cosmetic And General DentistryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- CA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia