| Sam D.k. Kim, Dmd, Pllc | |
|
1412 Sw 43rd St Ste 109 Renton WA 98057-4803 | |
| (425) 999-1281 | |
| Not Available |
| Full Name | Sam D.k. Kim, Dmd, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1412 Sw 43rd St Ste 109, Renton, Washington |
| Authorized Official Name and Position | Dong Kyung Kim (OWNER) |
| Authorized Official Contact | 4259991281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam D.k. Kim, Dmd, Pllc 1412 Sw 43rd St Ste 109 Renton WA 98057-4803 Ph: (425) 999-1281 | Sam D.k. Kim, Dmd, Pllc 1412 Sw 43rd St Ste 109 Renton WA 98057-4803 Ph: (425) 999-1281 |
| NPI Number | 1619250016 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 09/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619250016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60127882 (Washington) | Primary |
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