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Individual

DR. KIM WINONA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, MSD

Contact information

Practice address
10138 NE 64TH ST APT 37, KIRKLAND, WA 98033-6861
(425) 827-1731
Mailing address
PO BOX 53, KIRKLAND, WA 98083-0053
(425) 827-1731

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
30-01-8319
OH
1223P0300X
Periodontics
Primary
DE00006771
WA

Other

Enumeration date
05/20/2007
Last updated
07/08/2007
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