Individual
JEUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7806 175TH ST SW, EDMONDS, WA 98026-5026
(206) 734-2175
Mailing address
7806 175TH ST SW, EDMONDS, WA 98026-5026
(206) 734-2175
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
WA
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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