Individual
DR. KIMCHI LE PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
22727 SE 29TH ST, SAMMAMISH, WA 98075-9532
(425) 392-2103
(425) 313-9705
Mailing address
22727 SE 29TH ST, SAMMAMISH, WA 98075-9532
(425) 392-2103
(425) 313-9705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008482
WA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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