Provider Demographics
NPI:1952063042
Name:YU AND KIM DMD PLLC
Entity Type:Organization
Organization Name:YU AND KIM DMD PLLC
Other - Org Name:VANCOUVER PACIFIC EMERGENCY DENTIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNGHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:360-546-1106
Mailing Address - Street 1:7819 NE 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-9601
Mailing Address - Country:US
Mailing Address - Phone:360-639-3399
Mailing Address - Fax:
Practice Address - Street 1:7819 NE 13TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-9601
Practice Address - Country:US
Practice Address - Phone:360-639-3399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental