Kim, Sukho

Kim, Sukho is an individual health care provider with primary practice located at 5506 232Nd St Sw , Mountlake Terrace WA 98043-4738. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Kim, Sukho can be contacted via phone (425) 712-0915.

Contact Information

Primary practice address
5506 232Nd St Sw Mountlake Terrace WA 98043-4738
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000041 Washington

Profile Details

NPI number 1184638256
LBN Legal business name Kim, Sukho
Credentials LICENSED DENTURIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 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 1184638256 NPPES
Washington MEDICAID 5021282

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