| NPI | 1558598268 |
|---|---|
| Doing Business As | LYNNWOOD PRIME DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | YONGJAE KIM Member 425-457-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00011116) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE00011115) |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2009-12-10 |