| Doctor Name: | MR. SUKHO KIM |
| NPI Number: | 1184638256 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICENSED DENTURIST |
| License Number: | DN00000041 |
| Business Practice Address: | 5506 232nd St Sw Mountlake Terrace, WA - 980434738 |
| Business Phone Number: | 4257120915 |
| Business Fax Number: | |
| Mailing Address: | 5506 232nd St Sw, MOUNTLAKE TERRACE |
| State: | WA |
| Postal Code: | 980434738 |
| Phone Number: | 4257120915 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | DN00000041 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |