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1114318342
SUSAN KIM
STOCKTON, CA
NPI
1114318342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: CA 64343)
Enumeration Date
2015-02-10
Last Update Date
2015-02-10
Business Address
DR. SUSAN KIM DMD, MSD
678 N WILSON WAY
STOCKTON, CA 95205-4272
Phone number: 209-235-0226
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Mailing Address
DR. SUSAN KIM DMD, MSD
678 N WILSON WAY
STOCKTON, CA 95205-4272
Phone number: 209-235-0226
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