Individual
DR. DAE HO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5929 EVERGREEN WAY STE 100, EVERETT, WA 98203-6031
(425) 353-4469
(425) 348-5216
Mailing address
5929 EVERGREEN WAY STE 100, EVERETT, WA 98203-6031
(425) 353-4469
(425) 348-5216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60307878
WA
1223G0001X
General Practice Dentistry
Primary
DE60307878
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019027981
—
IL
05
—
2071188
—
WA
Enumeration date
10/29/2009
Last updated
03/30/2026
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