Individual provider · Type 1 NPI
Khin Mimi San, BCHD
Periodontics · Va Beach, VA
NPI number
1689116113
Active
Practice location
477 Viking Drive, Suite 190
Va Beach, VA 23452-7354
Fax (757) 463-0148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 0401416690 (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.
Another provider at this address
About NPI 1689116113
Khin Mimi San, BCHD's National Provider Identifier is 1689116113, issued on Nov 15, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Va Beach, VA. The record was last updated on May 21, 2021.