Individual
JUSTIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17265 SE WAX RD STE 101, COVINGTON, WA 98042-9102
(253) 639-6868
Mailing address
17265 SE WAX RD STE 101, COVINGTON, WA 98042-9102
(253) 639-6868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS105138
CA
1223G0001X
General Practice Dentistry
Primary
DE61273915
WA
Other
Enumeration date
08/13/2020
Last updated
04/23/2026
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