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Organization
YONGJAE KIM, DDS, PLLC
Active
Organization
YONGJAE KIM, DDS, PLLC
Active
Other names
Lynnwood Prime Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
YONGJAE KIM DDS (MEMBER)
(425) 457-3638
Entity
Organization
Contact information
Practice address
3333 184TH ST SW, SUITE #U, LYNNWOOD, WA 98037-4724
(425) 251-0707
Mailing address
PO BOX 4086, BELLEVUE, WA 98009-4086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00011115
WA
122300000X
Dentist
Primary
DE00011116
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5060132
—
WA
Enumeration date
06/20/2009
Last updated
12/10/2009
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