# DARA KIM, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakemont Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013649110
- **Authorized official:** DARA KIM DDS (DENTIST)
- **Authorized official phone:** (513) 515-1555

## Contact information

- **Practice address:** 4935 LAKEMONT BLVD SE STE B3, BELLEVUE, WA 98006-7800
- **Practice address phone:** (425) 746-2101
- **Mailing address:** 12808 SE 75TH CT, NEWCASTLE, WA 98056-5008
- **Mailing address phone:** (513) 515-1555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 06/28/2022
- **Last updated:** 07/31/2022