Whalio Doctors

NPI 1053350116

Wilson Kim, DDS

Practitioner General Practice Dentistry Mc Lean, VA

Practice location

Address
8251 Greensboro Dr Suite #102, Mc Lean, VA 22102-4900
Phone
(702) 992-7272
Fax
(703) 992-7284
Mailing address
1316 Colvin Forest Dr, Vienna, VA 22182-1318

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 0401411002 (VA)

Registry record

NPI
1053350116
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jun 2006
Record last updated
7 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.