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Organization
SUSAN J. KIM, D.D.S., INC
Active
Organization
SUSAN J. KIM, D.D.S., INC
Active
Other names
Lakeview Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN JI HYUN KIM D.D.S. (OWNER)
(818) 897-5055
Entity
Organization
Contact information
Practice address
11998 FOOTHILL BOULEVARD, LAKE VIEW TERRACE, CA 91342
(818) 897-5055
(818) 897-0218
Mailing address
11998 FOOTHILL BOULEVARD, LAKE VIEW TERRACE, CA 91342
(818) 897-5055
(818) 897-0218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48731
CA
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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