Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KHIN MIMI SAN, BCHD
ActiveMS. KHIN MIMI SAN, BCHD is a Periodontology healthcare provider located in VA BEACH, Virginia. NPI 1689116113 is currently active in the NPPES registry. Verify at CMS.
Periodontology · VA BEACH, VA
Registration Details
- NPI Number
- 1689116113
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2016 (9.784023080346 yrs)
- Last Updated
- May 21, 2021
- License
-
0401416690 (VA)
Practice Information
- Address
-
477 VIKING DRIVESUITE 190VA BEACH, VA, 234527354Browse VA providers · Browse ZIP 23452
- Phone
- 7574868181
- Fax
- 7574630148
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.