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Individual
DR. SHINSIM C KIM
Active
Individual
DR. SHINSIM C KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00007072
WA
1223G0001X
General Practice Dentistry
Primary
DE00007072
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0174705
STATE LABOR & INDUSTRIES
WA
05
—
1002647
—
WA
05
—
5016225
—
WA
01
—
KI0379
REGENCE BLUE SHIELD
WA
Enumeration date
10/27/2006
Last updated
03/30/2026
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