Organization
KCPP COMMUNITY OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID K CHO DDS (DIRECTOR)
(253) 306-6645
Entity
Organization
Contact information
Practice address
10121 EVERGREEN WAY STE 25-244, EVERETT, WA 98204-3885
(509) 696-6373
Mailing address
10121 EVERGREEN WAY STE 25-244, EVERETT, WA 98204-3885
(509) 696-6373
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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