NPI | 1376642801 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH JUNE KIM President 360-694-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE 9988) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2008-04-20 |