| NPI | 1578863999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE YOOSEUNG KIM Member 360-424-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE60078349) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |