Individual
DR. SEONGRYEOL ALBERT KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3505 NW ANDERSON HILL RD, SILVERDALE, WA 98383-9161
(360) 337-1780
(309) 243-8188
Mailing address
11825 N KNOXVILLE AVE, DUNLAP, IL 61525
(309) 243-1541
(309) 243-8188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028319
IL
122300000X
Dentist
DE00010423
WA
Other
Enumeration date
12/29/2006
Last updated
06/23/2010
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