Individual
CHAE HYUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5605 LAKEWOOD TOWNE CENTER BLVD SW, LAKEWOOD, WA 98499-3855
(253) 200-4049
Mailing address
400 CLEMENTINA ST APT 921, SAN FRANCISCO, CA 94103-4261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61332285
WA
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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