institution
Susan Kim Dds
Pediatric Dentist in Kirkland, Washington
NPI 1265495196

Susan Kim Dds is a Pediatric Dentist based in Kirkland, WA and is specialized in Pediatric Dentistry. Susan Kim Dds practices in Kirkland, WA. The NPI Number for Susan Kim Dds is 1265495196 and holds a License No. 9731 (Washington).

The current practice location address for Susan Kim Dds is 12910 Totem Lake Blvd Ne Ste 103, Kirkland, WA and can be reached out via phone at 425-814-3196 and via fax at 425-825-9646. You can also correspond with Susan Kim Dds through the mailing address at 12910 TOTEM LAKE BLVD NE STE 103, KIRKLAND, WA - 98034-2901 (mailing address contact number: 425-814-3196).

Location: 12910 Totem Lake Blvd Ne Ste 103, Kirkland, WA, 98034-2901
institution
Provider Profile Details
NPI Number
1265495196
Provider Name
Susan Kim Dds
Credential
Provider Entity Type
Organization
Address
12910 Totem Lake Blvd Ne Ste 103, Kirkland, WA, 98034-2901
Phone Number
425-814-3196
Fax Number
425-825-9646
Provider Enumeration Date
04/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5048368 05 WA
institution
Provider Business Practice Location Address Details
Address
12910 Totem Lake Blvd Ne Ste 103
City
State
Zip
98034
Phone Number
425-814-3196
Fax Number
425-825-9646
person
Provider Business Mailing Address Details
Address
12910 Totem Lake Blvd Ne Ste 103
City
State
Zip
98034-2901
Phone Number
425-814-3196
Fax Number
425-825-9646
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
9731 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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