| Sung Soo Kim, DDS | |
|
4th And Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | |
| (719) 526-5537 | |
| Not Available |
| Full Name | Sung Soo Kim |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 4th And Inner Loop Road, Fort Irwin, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932497500 | NPI | - | NPPES |
| 0401413002 | Other | VA | DENTIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401413002 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sung Soo Kim, DDS 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 Ph: (719) 526-5537 | Sung Soo Kim, DDS 4th And Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 Ph: (719) 526-5537 |
Dr. Stephanie Chung Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Inner Loop Road, Fort Irwin, CA 92310 Phone: 760-380-3166 | |
Ryan Steven Payne, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4th & Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 Phone: 719-526-5537 Fax: 706-787-2082 | |
Dr. Brent Wayne Clark, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 390 North Loop Rd., Fort Irwin, CA 92310 Phone: 760-383-5289 | |
Dr. Joshua Hyungkyu Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4th And Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 Phone: 719-526-5537 | |
Dr. Yong Soo Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Inner Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-3166 | |
Dustin Tyler Nygard, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg, 390 N Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-3166 | |
Dr. Sergio Hernandez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Inner Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-3173 |