Kim, Susan

Kim, Susan is an individual health care provider with primary practice located at 225 Centre St , Malden MA 02148-5524. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kim, Susan can be contacted via phone (781) 324-3200.

Contact Information

Primary practice address
225 Centre St Malden MA 02148-5524
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21549 Massachusetts

Profile Details

NPI number 1972689784
LBN Legal business name Kim, Susan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 18 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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