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General NPI Number Information
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NPI Number | 1093692394
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Entity Type | Organization
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Legal Business Name | KIM AND CHUNG DDS, PLLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 25031 RIDING PLZ STE 130
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City | SOUTH RIDING
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State | VA
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Zip | 20152-5916
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Country | US
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Telephone | 703-327-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 25154 CUTGRASS TER
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City | ALDIE
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State | VA
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Zip | 20105-5634
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Country | US
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Telephone | 703-717-8408
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HANWOOL KIM
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Credential | DDS
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Telephone | 703-717-8408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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