Individual
TAEHYUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1951 152ND PL NE UNIT 108, BELLEVUE, WA 98007
(425) 974-8161
Mailing address
1951 152ND PL NE UNIT 108, BELLEVUE, WA 98007
(425) 974-8161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61580487
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2023
Last updated
11/26/2024
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