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Organization
DARA KIM, DDS, PLLC
Active
Organization
DARA KIM, DDS, PLLC
Active
Other names
Lakemont Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DARA KIM DDS (DENTIST)
(513) 515-1555
Entity
Organization
Contact information
Practice address
4935 LAKEMONT BLVD SE STE B3, BELLEVUE, WA 98006-7800
(425) 746-2101
Mailing address
12808 SE 75TH CT, NEWCASTLE, WA 98056-5008
(513) 515-1555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/28/2022
Last updated
07/31/2022
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