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Organization

PETER E. KIM, DDS, PS

Active
Other names
NORTH CASCADE IMPLANT AND ORAL SURGERY CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
PETER E KIM DDS (PRESIDENT)
(513) 802-2799
Entity
Organization

Contact information

Practice address
2100 E SECTION ST STE 103, MOUNT VERNON, WA 98274-9132
(360) 424-7057
(360) 424-7058
Mailing address
2100 E SECTION ST STE 103, MOUNT VERNON, WA 98274-9132
(360) 424-7057
(360) 424-7058

Taxonomy

Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
DE 60468228
WA

Other

Enumeration date
08/28/2014
Last updated
08/28/2014
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