Individual
MR. SUKHO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED DENTURIST
Contact information
Practice address
5506 232ND ST SW, MOUNTLAKE TERRACE, WA 98043-4738
(425) 712-0915
Mailing address
5506 232ND ST SW, MOUNTLAKE TERRACE, WA 98043-4738
(425) 712-0915
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000041
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5021282
—
WA
Enumeration date
07/27/2006
Last updated
07/09/2007
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