Organization
KIM & CERVANTES-KIM DDS PLLC
Active
Other names
Elliott Bay Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY CERVANTES-KIM DDS (OWNER/DENTIST)
(206) 812-7957
Entity
Organization
Contact information
Practice address
945 ELLIOTT AVE W STE 212, SEATTLE, WA 98119-3645
(206) 812-7957
(206) 812-9506
Mailing address
945 ELLIOTT AVE W STE 212, SEATTLE, WA 98119-3645
(206) 812-7957
(206) 812-9506
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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