NPI: 1255872016 · STAFFORD, VA 22554 · General Practice Dentistry · NPI assigned 03/13/2017
| Authorized Official | KIM, SUN (DENTIST) |
| NPI Enumeration Date | 03/13/2017 |
Other providers sharing the same authorized official: KIM, SUN
| Provider | City | State | Total Paid |
|---|---|---|---|
| MLK COMMUNITY DENTAL & DENTURE CLINIC | SEATTLE | WA | $73K |
| SUN KIM MEDICAL CORPORATION | BUENA PARK | CA | $35K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 13 | 13 | $0.00 |