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General NPI Number Information
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NPI Number | 1982552006
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Entity Type | Organization
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Legal Business Name | JOHN TEASANG KIM, DDS PLLC
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 875 140TH AVE NE STE 203
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City | BELLEVUE
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State | WA
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Zip | 98005-3400
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Country | US
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Telephone | 425-641-2625
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Fax | 425-641-2624
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Provider Business Mailing Address
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Address Line | 875 140TH AVE NE STE 20334
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City | BELLEVUE
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State | WA
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Zip | 98005-3400
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Country | US
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Telephone | 425-641-2625
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Fax | 425-641-2624
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Authorized Official
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Title or Position | OWNER
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Name | JOHN TEASANG KIM
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Credential | DDS
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Telephone | 425-641-2625
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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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