Individual provider · NPI-1

Anastasia Ji Young Kim

Denturist · Seattle, WA

NPI number1306091970
StatusActive
Last updated in NPPESNov 24, 2008

Details

NPI
1306091970
Entity type
Individual (NPI-1)
Name
Ms. Anastasia Ji Young Kim
Sex
Female
Sole proprietor
No
Enumeration date
Nov 24, 2008
Last updated
Nov 24, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122400000X Denturist––Yes

Practice location

11545 15th Ave Ne Ste 201
Seattle, WA 98125-6358

Phone 206-852-2517

Mailing address

11733 167th Ct Ne
Redmond, WA 98052-0400

Phone 206-852-2517

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