# KIM AUN DDS PS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** University Place Family & Cosmetic Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558416586
- **Authorized official:** DR. PRASITH KIM-AUN DMD (PRESIDENT)
- **Authorized official phone:** (253) 564-2701

## Contact information

- **Practice address:** 2607 BRIDGEPORT WAY W, SUITE 1K, UNIVERSITY PLACE, WA 98466-4700
- **Practice address phone:** (253) 564-2701
- **Practice address fax:** (253) 566-3638
- **Mailing address:** 2607 BRIDGEPORT WAY W, SUITE 1K, UNIVERSITY PLACE, WA 98466-4700
- **Mailing address phone:** (253) 564-2701
- **Mailing address fax:** (253) 566-3638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE9156 | WA | Yes |
| 1223G0001X | General Practice Dentistry | DE9609 | WA | — |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020