Organization
LINDA J. KIM, LD, PLLC
Active
Other names
ProWest Denture Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA KIM (OWNER)
(303) 229-0580
Entity
Organization
Contact information
Practice address
5506 232ND ST SW, MOUNTLAKE TERRACE, WA 98043-4738
(425) 712-0915
Mailing address
5506 232ND ST SW, MOUNTLAKE TERRACE, WA 98043-4738
(303) 229-0580
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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