Individual
DR. KIM A WALTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16306 BOTHELL EVERETT HWY, STE 2, MILL CREEK, WA 98012-1283
(425) 745-4661
Mailing address
16306 BOTHELL EVERETT HWY, STE 2, MILL CREEK, WA 98012-1283
(425) 745-4661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00005339
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5015508
—
WA
Enumeration date
05/23/2005
Last updated
07/09/2007
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