Individual
DR. KEVIN MINSUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE61034697
WA
1223G0001X
General Practice Dentistry
DE61034697
WA
1223P0221X
Pediatric Dentistry
Primary
DE61034697
WA
Other
Enumeration date
05/26/2018
Last updated
07/22/2020
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