Individual
SHARON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5122 YELM HWY SE, LACEY, WA 98503-5034
(360) 528-7878
Mailing address
5122 YELM HWY SE, LACEY, WA 98503-5034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61456935
WA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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