Provider Demographics
NPI:1568834570
Name:DUKE H KIM,DDS,PC
Entity Type:Organization
Organization Name:DUKE H KIM,DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DUKE
Authorized Official - Middle Name:H
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-931-5555
Mailing Address - Street 1:900 N TAYLOR ST
Mailing Address - Street 2:#150
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1858
Mailing Address - Country:US
Mailing Address - Phone:703-931-5555
Mailing Address - Fax:703-778-4098
Practice Address - Street 1:900 N TAYLOR ST
Practice Address - Street 2:#150
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1858
Practice Address - Country:US
Practice Address - Phone:703-931-5555
Practice Address - Fax:703-778-4098
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POTOMAC VALLEY DENTAL CARE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty