Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taeil Kim

Individual provider Denturist · NPI 1093579823

Taeil Kim is a Denturist in Everett, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024

Practice location Address checks out

1111 Pacific Ave Ste A
Everett, WA 98201-4200
Phone: (425) 225-3411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Denturist (primary) Taxonomy 122400000X · Licence DN61453753 (WA)

Record details

NPI number1093579823
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address22114 Se 278th Pl, Maple Valley, WA 98038-5073

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