# KCPP COMMUNITY OUTREACH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770130890
- **Authorized official:** DAVID K CHO DDS (DIRECTOR)
- **Authorized official phone:** (253) 306-6645

## Contact information

- **Practice address:** 10121 EVERGREEN WAY STE 25-244, EVERETT, WA 98204-3885
- **Practice address phone:** (509) 696-6373
- **Mailing address:** 10121 EVERGREEN WAY STE 25-244, EVERETT, WA 98204-3885
- **Mailing address phone:** (509) 696-6373

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2019
- **Last updated:** 08/22/2019