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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SANG YOON KIM, DMD, MD

Active Sole Proprietor

DR. SANG YOON KIM, DMD, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in VIENNA, Virginia. NPI 1992826333 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · VIENNA, VA

Registration Details

NPI Number
1992826333
Provider Type
Individual
Gender
Male
NPI Issued
Apr 3, 2007 (19.322997361068 yrs)
Last Updated
Jun 14, 2013
Licenses
0101251217 (VA)
0401413454 (VA)
Sole Proprietor
Yes

Practice Information

Address
361 MAPLE AVE W
SUITE 200
VIENNA, VA, 221804304
Browse VA providers · Browse ZIP 22180
Phone
7032559400
Fax
7032554958
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Additional Specialty
Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.