Dae Ho Kim DDS PC INC

NPI #1386053973 in Everett, Washington

Provider Information

NPI Number: 1386053973
Entity Type: Organization
Organization Name: Dae Ho Kim DDS PC INC
Primary Specialty: Dentist
Enumeration Date: Aug 7, 2014
Last Updated: Aug 7, 2014

Practice Location

Address: 5929 EVERGREEN WAY
Address 2: SUITE 100
City: Everett
State: Washington
ZIP Code: 98203-6031
Phone: (425) 353-4469

Authorized Official

Name: DR. DAE HO KIM, DDS
Title: PRESIDENT/DENTIST
Phone: (425) 353-4469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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