# J KIM & M CERVANTES-KIM DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** J KIM & M CERVANTES-KIM DDS PLLC
- **Other names:** Elliott Bay Dental Burien
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578294179
- **Legal business name:** J KIM & M CERVANTES-KIM DDS PLLC
- **Authorized official:** MISTY CERVANTES-KIM DDS (DENTIST/OWNER)
- **Authorized official phone:** (209) 406-3057

## Contact information

- **Practice address:** 322 SW 155TH ST, BURIEN, WA 98166-2590
- **Practice address phone:** (206) 243-7811
- **Mailing address:** 945 ELLIOTT AVE W STE 212, SEATTLE, WA 98119-3645
- **Mailing address phone:** (206) 812-7957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/23/2022
- **Last updated:** 06/23/2022