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Organization
DAE HO KIM DDS PC INC
Active
Organization
DAE HO KIM DDS PC INC
Active
Other names
Chicago Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAE HO KIM DDS (PRESIDENT/DENTIST)
(425) 353-4469
Entity
Organization
Contact information
Practice address
5929 EVERGREEN WAY, SUITE 100, EVERETT, WA 98203-6031
(425) 353-4469
Mailing address
5929 EVERGREEN WAY, SUITE 100, EVERETT, WA 98203-6031
(425) 353-4469
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60307878
WA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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