Individual provider · Type 1 NPI
Ji Sun Kim
Periodontics · Glen Allen, VA
NPI number
1346782018
Active
Practice location
3823 Maher Mnr
Glen Allen, VA 23060-5979
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 0401415219 (VA) |
Periodontics: 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.
Other periodontics providers in Glen Allen
About NPI 1346782018
Ji Sun Kim's National Provider Identifier is 1346782018, issued on Nov 13, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Glen Allen, VA. The record was last updated on Nov 13, 2016.