Ji Sun Kim
NPI #1346782018 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1346782018
- Entity Type
- Individual
- Name
- Ji Sun Kim
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Nov 13, 2016
- Last Updated
- Nov 13, 2016
Practice Location
- Address
- 3823 MAHER MNR
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23060-5979
- Phone
- (919) 450-7550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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