Organization
DARA KIM, DDS, PLLC
Active
Other names
Lakemont Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DARA KIM DDS (DENTIST)
(513) 515-1555
Entity
Organization
Contact information
Practice address
4935 LAKEMONT BLVD SE STE B3, BELLEVUE, WA 98006-7800
(425) 746-2101
Mailing address
12808 SE 75TH CT, NEWCASTLE, WA 98056-5008
(513) 515-1555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/28/2022
Last updated
07/31/2022
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