| Sue Young Kim Dds A Professional Corporation | |
|
1319 N Main St Santa Ana CA 92701-2318 | |
| (714) 972-2782 | |
| Not Available |
| Full Name | Sue Young Kim Dds A Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1319 N Main St, Santa Ana, California |
| Authorized Official Name and Position | Sue Young Kim (PRESIDENT) |
| Authorized Official Contact | 2137009627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sue Young Kim Dds A Professional Corporation 6053 E Jack Pine Ln Orange CA 92869-1542 Ph: () - | Sue Young Kim Dds A Professional Corporation 1319 N Main St Santa Ana CA 92701-2318 Ph: (714) 972-2782 |
| NPI Number | 1063863017 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 06/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063863017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50767 (California) | Primary |
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