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Organization

DAE HO KIM DDS PC INC

Active
Other names
Chicago Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAE HO KIM DDS (PRESIDENT/DENTIST)
(425) 353-4469
Entity
Organization

Contact information

Practice address
5929 EVERGREEN WAY, SUITE 100, EVERETT, WA 98203-6031
(425) 353-4469
Mailing address
5929 EVERGREEN WAY, SUITE 100, EVERETT, WA 98203-6031
(425) 353-4469

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60307878
WA

Other

Enumeration date
08/07/2014
Last updated
08/07/2014
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