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General NPI Number Information
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NPI Number | 1134085087
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Entity Type | Organization
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Legal Business Name | MSK.DMD, PLLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 20630 ASHBURN RD STE 196
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City | ASHBURN
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State | VA
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Zip | 20147-5626
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Country | US
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Telephone | 410-900-2545
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 9TH ST N APT 508
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City | ARLINGTON
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State | VA
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Zip | 22203-1959
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. MIN SEONG KIM
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Credential | DMD
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Telephone | 410-900-2545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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