# MARYSVILLE KIDS DENTISTRY

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639602444
- **Authorized official:** DR. AMELIA CHIM DDS (PEDIATRIC DENTIST)
- **Authorized official phone:** (206) 383-9338

## Contact information

- **Practice address:** 505 CEDAR AVE STE C3, MARYSVILLE, WA 98270-4561
- **Practice address phone:** (206) 383-9338
- **Mailing address:** 505 CEDAR AVE STE C3, MARYSVILLE, WA 98270-4561

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2017
- **Last updated:** 04/07/2017