# CALVIN H. KIM DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OLYMPIA FAMILY DENTAL
- **Other names:** Chehalis Family Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255713335
- **Legal business name:** OLYMPIA FAMILY DENTAL
- **Authorized official:** DR. CALVIN H KIM DDS (DENTIST/ OWNER)
- **Authorized official phone:** (360) 740-9999

## Contact information

- **Practice address:** 1299 BISHOP RD STE B, CHEHALIS, WA 98532-8758
- **Practice address phone:** (360) 740-9999
- **Practice address fax:** (360) 740-9998
- **Mailing address:** 1299 BISHOP RD STE B, CHEHALIS, WA 98532-8758
- **Mailing address phone:** (360) 740-9999
- **Mailing address fax:** (360) 740-9998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE8725 | WA | Yes |

## Other

- **Enumeration date:** 06/24/2015
- **Last updated:** 03/22/2016