Organization
BJ KIM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN D FRISKE DA (OFFICE MANAGER)
(253) 520-3866
Entity
Organization
Contact information
Practice address
302 WASHINGTON AVE S, KENT, WA 98032-5713
(253) 520-3866
(253) 520-0102
Mailing address
302 WASHINGTON AVE S, KENT, WA 98032-5713
(253) 520-3866
(253) 520-0102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60511889
WA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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