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Individual

DR. SUSAN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD, MSD

Contact information

Practice address
678 N WILSON WAY, STOCKTON, CA 95205-4272
(209) 235-0226
Mailing address
678 N WILSON WAY, STOCKTON, CA 95205-4272
(209) 235-0226

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
64343
CA

Other

Enumeration date
02/10/2015
Last updated
02/10/2015
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