Kim, Taeil

Kim, Taeil is an individual health care provider with primary practice located at 1111 Pacific Ave Ste A , Everett WA 98201-4200. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Kim, Taeil can be contacted via phone (425) 225-3411.

Contact Information

Primary practice address
1111 Pacific Ave Ste A Everett WA 98201-4200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN61453753 Washington

Profile Details

NPI number 1093579823
LBN Legal business name Kim, Taeil
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2024
Last updated Feb 12th, 2024 - about 10 months 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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