| NPI | 1407097850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONGJAE KIM Member 425-457-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00011116) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00011115) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-10-22 |