Individual
CATHERINE IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
400 S 38TH CT STE B, RENTON, WA 98055-5756
(425) 271-4522
Mailing address
20910 184TH AVE SE, RENTON, WA 98058-9728
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9140
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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