Organization
SAM D.K. KIM, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONG KYUNG KIM DMD (OWNER)
(425) 999-1281
Entity
Organization
Contact information
Practice address
1412 SW 43RD ST STE 109, RENTON, WA 98057-4803
(425) 999-1281
Mailing address
1412 SW 43RD ST STE 109, RENTON, WA 98057-4803
(425) 999-1281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60127882
WA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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