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Bomi Kim, DDS

Dentist, General Practice in Culpeper, VA. Individual provider (NPI-1).

NPI number1962997130
StatusActive
Last updated in NPPESJun 28, 2018

Details

NPI
1962997130
Entity type
Individual (NPI-1)
Name
Bomi Kim
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 28, 2018
Last updated
Jun 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice0401416117VAYes

Practice location

563 James Madison Hwy
Culpeper, VA 22701-2365

Phone 540-827-4076

Mailing address

4807 Twinbrook Rd
Fairfax, VA 22032-2047

Phone 703-967-0036

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