Individual
PETER H KIM
Active
Individual
PETER H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00008656
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
GA10000282
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141618
LABOR & INDUSTRIES
WA
05
—
5034640
—
WA
Enumeration date
02/15/2007
Last updated
07/09/2007
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