Kim, Jung Hoon

Kim, Jung Hoon is an individual health care provider with primary practice located at 19108 33Rd Ave W Suite C, Lynnwood WA 98036-4728. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, Jung Hoon can be contacted via phone (425) 774-9571.

Contact Information

Primary practice address
19108 33Rd Ave W Suite C Lynnwood WA 98036-4728
Phone: (425) 774-9571
Fax: (425) 774-5727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00007969 Washington

Profile Details

NPI number 1366420002
LBN Legal business name Kim, Jung Hoon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366420002 NPPES
Washington MEDICAID 5043930

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