Individual
MR. SEAN YOUNGSAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5115 N DYSART RD, STE 218, LITCHFIELD PARK, AZ 85340
(623) 536-0900
(623) 536-0920
Mailing address
13706 W BELL RD, STE 2, SURPRISE, AZ 85374
(623) 584-9910
(623) 584-9940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4311
AZ
1223G0001X
General Practice Dentistry
4311
AZ
Other
Enumeration date
04/25/2007
Last updated
05/22/2009
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