Individual
DR. KIM E BRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
720 S 320TH ST, SUITE#I, FEDERAL WAY, WA 98003-5254
(253) 839-5953
(253) 839-9335
Mailing address
25726 SE 39TH ST, ISSAQUAH, WA 98029-7759
(425) 391-6613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6111
WA
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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