NPI | 1265745087 |
---|---|
Doing Business As | BELLEVUE PRIME DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | HYE-JIN KIM Member 425-457-3639 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2010-07-21 |
Last Update Date | 2010-07-21 |