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General NPI Number Information
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NPI Number | 1639108152
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Entity Type | Individual
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Provider Name | YONGJAE KIM DDS
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 3333 184TH ST SW STE U
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City | LYNNWOOD
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State | WA
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Zip | 98037-4742
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Country | US
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Telephone | 425-251-0707
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Fax | 425-608-5642
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Provider Business Mailing Address
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Address Line | PO BOX 4086
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City | BELLEVUE
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State | WA
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Zip | 98009-4086
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Country | US
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Telephone | 425-251-0707
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS035432
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00011116
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License Number State | WA
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