| Dr Susun Theresa Kim, DMD | |
|
4175 South Alamo Avenue, 355 Mdg, Davis-monthan Afb, AZ 85707-4406 | |
| (520) 228-2650 | |
| Not Available |
| Full Name | Dr Susun Theresa Kim |
|---|---|
| Gender | Female |
| Speciality | Dentist - Prosthodontics |
| Location | 4175 South Alamo Avenue, Davis-monthan Afb, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386165736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 22DI02757700 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susun Theresa Kim, DMD 59 Dg Af Postgraduate Dental School, 2133 Klinker Street, Building 3352, Jbsa-lackland, TX 78236-5313 Ph: (210) 228-3838 | Dr Susun Theresa Kim, DMD 4175 South Alamo Avenue, 355 Mdg, Davis-monthan Afb, AZ 85707-4406 Ph: (520) 228-2650 |
Dr. Angela Kay Stanton, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4175 S. Alamo Av, Davis-monthan Afb, AZ 85707 Phone: 520-228-2615 | |
Tyler Antonelli, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707 Phone: 910-619-6720 | |
Alexa Bergren, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707 Phone: 520-228-2650 | |
Dr. Brett Myungsoo Chung, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4175 S. Alamo Ave, Davis-monthan Afb, AZ 85707 Phone: 520-228-2792 | |
Dr. Daniel Cooper Lee Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4175 S. Alamo Ave, Bldg 400, Davis-monthan Afb, AZ 85707 Phone: 520-228-2999 |