| Susan Hae Suk Kim Dds Inc | |
|
1301 S Beach Blvd Unit G La Habra CA 90631-6384 | |
| (951) 790-7496 | |
| Not Available |
| Full Name | Susan Hae Suk Kim Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1301 S Beach Blvd, La Habra, California |
| Authorized Official Name and Position | Hae Suk Kim (DENTIST/PRESIDENT) |
| Authorized Official Contact | 5624483976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Hae Suk Kim Dds Inc 1301 S Beach Blvd Unit G La Habra CA 90631-6384 Ph: (562) 448-3976 | Susan Hae Suk Kim Dds Inc 1301 S Beach Blvd Unit G La Habra CA 90631-6384 Ph: (951) 790-7496 |
| NPI Number | 1336546514 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336546514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61888 (California) | Primary |
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