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3601 Fremont Ave N Suite 316 Seattle WA 98103-2709 | |
| (206) 675-0366 | |
| (206) 675-0466 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3601 Fremont Ave N, Seattle, Washington |
| Authorized Official Name and Position | Simone Kim (CO-OWNER) |
| Authorized Official Contact | 2066750366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3601 Fremont Ave N Suite 316 Seattle WA 98103-2709 Ph: (206) 675-0366 | 3601 Fremont Ave N Suite 316 Seattle WA 98103-2709 Ph: (206) 675-0366 |
| NPI Number | 1407001647 |
|---|---|
| Provider Enumeration Date | 12/01/2008 |
| Last Update Date | 12/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407001647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 743094945 (Washington) | Primary |
| 1223G0001X | Dentist - General Practice | 743094948 (Washington) | Secondary |
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