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Dr. Susun Theresa Kim, DMD
Prosthodontist in Davis-Monthan Afb, Arizona
NPI 1386165736

Susun Theresa Kim is a Prosthodontist based in Jbsa-Lackland, AZ and is specialized in Prosthodontics. Susun Theresa Kim practices in Davis-Monthan Afb, AZ and has the professional credentials of DMD. The NPI Number for Susun Theresa Kim is 1386165736 and holds a License No. 22DI02757700 (Arizona).

The current practice location address for Susun Theresa Kim is 4175 South Alamo Avenue, Davis-Monthan Afb, AZ and can be reached out via phone at 520-228-2650.

Location: 4175 South Alamo Avenue, Davis-Monthan Afb, AZ, 78236-5313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386165736
Provider Name
Susun Theresa Kim
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
4175 South Alamo Avenue, Davis-Monthan Afb, AZ, 78236-5313
Phone Number
520-228-2650
Fax Number
Provider Enumeration Date
07/06/2017
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
4175 South Alamo Avenue
City
Davis-Monthan Afb
State
Arizona
Zip
85707-4406
Phone Number
520-228-2650
Fax Number
person
Provider Business Mailing Address Details
Address
4175 South Alamo Avenue
City
Davis-Monthan Afb
State
Arizona
Zip
85707-4406
Phone Number
520-228-2650
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
22DI02757700 (New Jersey)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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