Susie Kim DDS

NPI 1093006785 - Dentist - 122300000X

NPI Details
NPI 1093006785
Gender Female
Enumeration Date 04/28/2011
Last Updated 04/28/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
438 W LE ROY AVE
ARCADIA CA, 91007-7305, US
Phone (626) 244-9240
Fax
Business Location
438 W LE ROY AVE
ARCADIA CA, 91007-7305, US
Phone (626) 244-9240
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 55016
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According to our database, Dr. Susie Kim DDS NPI is 1093006785, taxonomy code is 122300000X and license number is 55016, license state is located at California. Susie Kim DDS physically located at 438 W Le Roy Ave, Arcadia CA, 91007-7305. NPI Number Susie Kim DDS has the Individual type.

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1093006785 NPI number is provided on an as is basis without warranty of any kind. 1093006785 is maintained by the National Plan & Provider Enumeration System. The contents of Susie Kim DDS are for informational purposes only.