DR. Kortne King Frederick, DDS, MDS

NPI #1235391780 in Tukwila, Washington

Provider Information

NPI Number: 1235391780
Entity Type: Individual
Name: DR. Kortne King Frederick, DDS, MDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS, MDS
Enumeration Date: Jun 26, 2008
Last Updated: Oct 29, 2008

Practice Location

Address: 411 STRANDER BLVD STE 102
City: Tukwila
State: Washington
ZIP Code: 98188-2961
Phone: (206) 575-1194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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