Individual
LINDA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
5506 232ND ST SW, MOUNTLAKE TERRACE, WA 98043-4738
(425) 712-0915
Mailing address
5506 232ND ST SW, MOUNTLAKE TERRACE, WA 98043-4738
(303) 229-0580
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60870448
WA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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