Kim, Susan

Kim, Susan is an individual health care provider with primary practice located at 678 N Wilson Way , Stockton CA 95205-4272. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Kim, Susan can be contacted via phone (209) 235-0226.

Contact Information

Primary practice address
678 N Wilson Way Stockton CA 95205-4272
Phone: (209) 235-0226
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 64343 California

Profile Details

NPI number 1114318342
LBN Legal business name Kim, Susan
Credentials DMD, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2015
Last updated Feb 10th, 2015 - about 9 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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