Individual
JI EUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1959 NE PACIFIC ST # B-338, SEATTLE, WA 98195-7446
(206) 543-5787
Mailing address
3974 PENNSYLVANIA AVE UNIT 102, LA CRESCENTA, CA 91214-3794
(818) 934-2915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
112085
CA
Other
Enumeration date
02/21/2026
Last updated
02/21/2026
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