Male or Other

Chan B. Kim DDS

Dentist in Federal Way, WA(View on Map)

Full Name

Chan Bae Kim DDS

NPI Number

1972804037

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/05/2010

Specialties

(Taxonomies)

Code

122300000X
1223G0001X

Primary Taxonomy

Yes
No

Licenses

State

California
Oklahoma
Washington

License Number

59574
6250
60483705

Contact
Information

Purpose

Mailing
Location

Address

30640 PACIFIC HWY S STE A
30640 PACIFIC HWY S STE A

City

Federal Way
Federal Way

State

WA
WA

Postal Code

98003-4889
98003-4889

Country

US
US

Telephone Number

(253) 946-3895
(253) 946-3895

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/18/2024

Provider Address

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