Kim, Sang Yoon
Kim, Sang Yoon is an sole proprietor health care provider with primary practice located at 361 Maple Ave W Suite 200, Vienna VA 22180-4304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Kim, Sang Yoon can be contacted via phone (703) 255-9400.Contact Information
Primary practice address
361 Maple Ave W Suite 200
Vienna VA 22180-4304
Phone: (703) 255-9400
Fax: (703) 255-4958
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 0101251217 | Virginia |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 0401413454 | Virginia |
Profile Details
NPI number | 1992826333 |
---|---|
LBN Legal business name | Kim, Sang Yoon |
Credentials | DMD, MD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 3rd, 2007 |
Last updated | Jun 14th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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