| NPI | 1407001647 |
|---|---|
| Other Name | FREMONT DENTAL |
| Entity Type | Organization |
| Authorized Contact | SIMONE KIM Co Owner 206-675-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 743094945) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 743094948) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |