Suk Won Kim
Suk Won Kim is a Student in an Organized Health Care Education/Training Program in Daly City, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
211 Eastmoor AveDaly City, CA 94015-2036
Phone: (650) 550-3923
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Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 108979 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1750024238 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2022 |
| Last updated in NPPES | September 25, 2023 |
| Certification date | September 24, 2023 |
| Mailing address | 211 Eastmoor Ave, Daly City, CA 94015-2036 |
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