Organization
KRIS KIM DDS PLLC
Active
Other names
Edmonds Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIS HYEMIN KIM DDS, MSD (OWNER/DR.)
(425) 977-2505
Entity
Organization
Contact information
Practice address
21920 76TH AVE W, SUITE 201, EDMONDS, WA 98026-7980
(425) 977-2505
(425) 977-2506
Mailing address
21920 76TH AVE W, SUITE 201, EDMONDS, WA 98026-7980
(425) 977-2505
(425) 977-2506
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DE60058462
WA
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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