Individual
DR. MIKE Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14820 PACIFIC AVE S, TACOMA, WA 98444-4655
(253) 537-9317
Mailing address
14820 PACIFIC AVE S, TACOMA, WA 98444-4655
(253) 537-9317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9794
WA
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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