Individual provider · Type 1 NPI
Su Jin Kim, DDS
Pediatric Dentistry · Finksburg, MD
NPI number
1093169344
Active
Practice location
2029 Suffolk Rd Ste B
Finksburg, MD 21048-1630
Mailing address
650 W Baltimore St
Baltimore, MD 21201-1510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 16647 (MD) |
Pediatric Dentistry: 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.
About NPI 1093169344
Su Jin Kim, DDS's National Provider Identifier is 1093169344, issued on Apr 22, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Finksburg, MD. The record was last updated on Feb 26, 2020.