Individual
TAEIL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 PACIFIC AVE STE A, EVERETT, WA 98201-4200
(425) 225-3411
Mailing address
22114 SE 278TH PL, MAPLE VALLEY, WA 98038-5073
(253) 820-6437
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN61453753
WA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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