Susan J. Kim, D.D.S., Inc in Lake View Terrace - Dentist
Susan J. Kim, D.D.S., Inc - NPI 1285836635
Susan J. Kim, D.D.S., Inc is a Dentist in Lake View Terrace, California. Susan J. Kim, D.D.S., Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Susan J. Kim, D.D.S., Inc is 1285836635. The last update date is 2020-08-22.
Susan J. Kim, D.D.S., Inc's current location address is 11998 Foothill Boulevard, Lake View Terrace, California. You can contact this provider via phone number 8188975055 and fax number 8188970218. The mailing address for Susan J. Kim, D.D.S., Inc is 11998 Foothill Boulevard, Lake View Terrace, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susan J. Kim, D.D.S., Inc |
|---|---|
| Address | 11998 Foothill Boulevard, Lake View Terrace, California |
| Phone Number | 8188975055 |
| Fax Number | 8188970218 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kim Ji Hyun Susan |
| Credentials | D.D.S. |
| Telephone Number | 8188975055 |
NPI Number Detail
| NPI Number | 1285836635 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 11998 Foothill Boulevard |
|---|---|
| City | Lake View Terrace |
| State | California (CA) |
| Post Code | 91342 |
| Phone Number | 8188975055 |
| Fax Number | 8188970218 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 48731 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan J. Kim, D.D.S., Inc by the Centers for Medicare & Medicaid Services?
The Susan J. Kim, D.D.S., Inc has been issued the NPI (National Provider Identifier) 1285836635, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan J. Kim, D.D.S., Inc?
The Susan J. Kim, D.D.S., Inc is physically situated at 11998 Foothill Boulevard, in the city of Lake View Terrace, state of CA, with the postal code 91342.
What is the Susan J. Kim, D.D.S., Inc's specialty and taxonomy code?
The Susan J. Kim, D.D.S., Inc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285836635 to Susan J. Kim, D.D.S., Inc?
The Centers for Medicare & Medicaid Services originally issued the 1285836635 to Susan J. Kim, D.D.S., Inc on 2007-06-05.
As of what date was the information regarding Susan J. Kim, D.D.S., Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan J. Kim, D.D.S., Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1972505162
Address: 1237 Salem Gate Drive, Conyers, GA