| Susan J. Kim, D.d.s., Inc | |
|
11998 Foothill Boulevard Lake View Terrace CA 91342 | |
| (818) 897-5055 | |
| (818) 897-0218 |
| Full Name | Susan J. Kim, D.d.s., Inc |
|---|---|
| Speciality | Dentist |
| Location | 11998 Foothill Boulevard, Lake View Terrace, California |
| Authorized Official Name and Position | Susan Ji Hyun Kim (OWNER) |
| Authorized Official Contact | 8188975055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan J. Kim, D.d.s., Inc 11998 Foothill Boulevard Lake View Terrace CA 91342 Ph: (818) 897-5055 | Susan J. Kim, D.d.s., Inc 11998 Foothill Boulevard Lake View Terrace CA 91342 Ph: (818) 897-5055 |
| NPI Number | 1285836635 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285836635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48731 (California) | Primary |