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General NPI Number Information
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NPI Number | 1598613630
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Entity Type | Organization
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Legal Business Name | JOHN T. KIM DDS PS
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 18920 BOTHELL WAY NE STE 202
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City | BOTHELL
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State | WA
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Zip | 98011-1981
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Country | US
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Telephone | 425-481-0509
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Fax | 425-481-0569
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Provider Business Mailing Address
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Address Line | 18920 BOTHELL WAY NE STE 202
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City | BOTHELL
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State | WA
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Zip | 98011-1981
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Country | US
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Telephone | 425-481-0509
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Fax | 425-481-0569
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN T KIM
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Credential | DDS
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Telephone | 425-512-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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