Prime Dental Group, LLC
NPI #1407097850 in Kent, Washington
Provider Information
- NPI Number
- 1407097850
- Entity Type
- Organization
- Organization Name
- Prime Dental Group, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 16, 2009
- Last Updated
- Oct 22, 2009
Practice Location
- Address
- 302 WASHINGTON AVE S
- City
- Kent
- State
- Washington
- ZIP Code
- 98032-5713
- Phone
- (253) 520-3866
Authorized Official
- Name
- YONGJAE KIM, DDS
- Title
- MEMBER
- Phone
- (425) 457-3638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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