# YONGJAE KIM, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lynnwood Prime Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558598268
- **Authorized official:** YONGJAE KIM DDS (MEMBER)
- **Authorized official phone:** (425) 457-3638

## Contact information

- **Practice address:** 3333 184TH ST SW, SUITE \#U, LYNNWOOD, WA 98037-4724
- **Practice address phone:** (425) 251-0707
- **Mailing address:** PO BOX 4086, BELLEVUE, WA 98009-4086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00011115 | WA | — |
| 122300000X | Dentist | DE00011116 | WA | Yes |

## Other

- **Enumeration date:** 06/20/2009
- **Last updated:** 12/10/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5060132 | — | WA |