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Ji Sun Kim
Periodontist in Glen Allen, Virginia
NPI 1346782018

Ji Sun Kim is a Periodontist based in Glen Allen, VA and is specialized in Periodontics. Ji Sun Kim practices in Glen Allen, VA. The NPI Number for Ji Sun Kim is 1346782018 and holds a License No. 0401415219 (Virginia).

The current practice location address for Ji Sun Kim is 3823 Maher Mnr, Glen Allen, VA and can be reached out via phone at 919-450-7550.

Location: 3823 Maher Mnr, Glen Allen, VA, 23060-5979
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346782018
Provider Name
Ji Sun Kim
Credential
Provider Entity Type
Individual
Gender
Female
Address
3823 Maher Mnr, Glen Allen, VA, 23060-5979
Phone Number
919-450-7550
Fax Number
Provider Enumeration Date
11/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3823 Maher Mnr
City
Glen Allen
State
Virginia
Zip
23060-5979
Phone Number
919-450-7550
Fax Number
person
Provider Business Mailing Address Details
Address
3823 Maher Mnr
City
Glen Allen
State
Virginia
Zip
23060-5979
Phone Number
919-450-7550
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
0401415219 (Virginia)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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