Individual
DR. KORTNE KING FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MDS
Contact information
Practice address
411 STRANDER BLVD STE 102, TUKWILA, WA 98188-2961
(206) 575-1194
(206) 575-3194
Mailing address
411 STRANDER BLVD STE 102, TUKWILA, WA 98188-2961
(206) 575-1194
(206) 575-3194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60016836
WA
Other
Enumeration date
06/26/2008
Last updated
10/29/2008
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