Susan J. Kim, D.D.S., INC
Dentist in Lake View Terrace, CA. Organization (NPI-2).
NPI number1285836635
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1285836635
- Entity type
- Organization (NPI-2)
- Legal business name
- Susan J. Kim, D.D.S., INC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 48731 | CA | Yes |
Other names
- Lakeview Family Dental (Doing Business As)
Practice location
11998 Foothill BoulevardLake View Terrace, CA 91342
Phone 818-897-5055 · Fax 818-897-0218
Mailing address
11998 Foothill BoulevardLake View Terrace, CA 91342
Phone 818-897-5055 · Fax 818-897-0218
Authorized official
Susan Ji Hyun Kim
Owner
8188975055
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