Individual provider · NPI-1
Minseok Kim, DD,LD
Denturist · Federal Way, WA
NPI number1609208214
StatusActive
Last updated in NPPESMay 21, 2021
Details
- NPI
- 1609208214
- Entity type
- Individual (NPI-1)
- Name
- Minseok Kim
- Credential
- DD,LD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2013
- Certification date
- May 21, 2021
- Last updated
- May 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122400000X | Denturist | DN 60300984 | WA | Yes |
Practice location
30810 Pacific Hwy S Ste BFederal Way, WA 98003-4982
Phone 253-886-0855
Mailing address
30818 Pacific Hwy SFederal Way, WA 98003-4902
Phone 253-839-1505 · Fax 253-941-3896
Other practice locations
18802 Mountain View Dr E Ste A
Bonney Lake, WA 98391-7110
Bonney Lake, WA 98391-7110
Phone 253-750-4164 · Fax 253-941-3896
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