Kim, Ji Sun

Kim, Ji Sun is an individual health care provider with primary practice located at 3823 Maher Mnr , Glen Allen VA 23060-5979. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Kim, Ji Sun can be contacted via phone (919) 450-7550.

Contact Information

Primary practice address
3823 Maher Mnr Glen Allen VA 23060-5979
Phone: (919) 450-7550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 0401415219 Virginia

Profile Details

NPI number 1346782018
LBN Legal business name Kim, Ji Sun
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2016
Last updated Nov 13th, 2016 - about 8 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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