| NPI | 1962726281 |
|---|---|
| Doing Business As | EDMONDS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KRIS HYEMIN KIM Owner/Dr. 425-977-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA DE60058462) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |