Individual
JADE K KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2401 N 45TH ST, SEATTLE, WA 98103-6968
(206) 632-1214
(206) 634-1229
Mailing address
1216 26TH AVE E, SEATTLE, WA 98112-3631
(206) 713-2544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00007947
WA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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