Individual
DR. KENNETH PAUL LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3622 ENSIGN RD NE STE D, OLYMPIA, WA 98506-5081
(360) 570-8016
(360) 570-8275
Mailing address
3622 ENSIGN RD NE STE D, OLYMPIA, WA 98506-5081
(360) 570-8016
(360) 570-8275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60459097
WA
1223G0001X
General Practice Dentistry
1324
AK
1223G0001X
General Practice Dentistry
Primary
DE60459097
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039082
—
WA
05
—
DD0046
—
AK
Enumeration date
11/24/2009
Last updated
10/24/2025
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