Individual
SEAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-0903
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE61573867
WA
1223G0001X
General Practice Dentistry
Primary
DE61573867
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2302846
—
WA
Enumeration date
02/27/2024
Last updated
09/23/2025
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