Individual
SAM DK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1412 SW 43RD ST, IDC MEDICAL PLAZA, #109, RENTON, WA 98057-4803
(253) 277-8767
(253) 277-8769
Mailing address
1412 SW 43RD ST STE 109, RENTON, WA 98057-4803
(253) 277-8767
(253) 277-8769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60127882
WA
Other
Enumeration date
08/22/2011
Last updated
01/04/2019
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