Taeil Kim is a Denturist based in Maple Valley, WA. Taeil Kim practices in Everett, WA. The NPI Number for Taeil Kim is 1093579823 and holds a License No. DN61453753 (Washington).
The current practice location address for Taeil Kim is 1111 Pacific Ave Ste A, Everett, WA and can be reached out via phone at 425-225-3411.
Location: 1111 Pacific Ave Ste A, Everett, WA, 98038-5073
Provider Profile Details
NPI Number
1093579823
Provider Name
Taeil Kim
Credential
Provider Entity Type
Individual
Gender
Male
Address
1111 Pacific Ave Ste A, Everett, WA, 98038-5073
Phone Number
425-225-3411
Fax Number
Provider Enumeration Date
02/12/2024
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
1111 Pacific Ave Ste A
City
State
Zip
98201-4200
Phone Number
425-225-3411
Fax Number
Provider Business Mailing Address Details
Address
1111 Pacific Ave Ste A
City
State
Zip
98201-4200
Phone Number
425-225-3411
Fax Number
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DN61453753 (Washington)
Definition
Definition to come.
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