Provider Demographics
NPI:1063233674
Name:ALL FACIAL PROSTHETIC AND HEARING SERVICE CORP
Entity type:Organization
Organization Name:ALL FACIAL PROSTHETIC AND HEARING SERVICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MINSEOK
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DD, LD, MSC
Authorized Official - Phone:253-886-3922
Mailing Address - Street 1:308 WASHINGTON AVE S
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-5713
Mailing Address - Country:US
Mailing Address - Phone:253-981-3917
Mailing Address - Fax:253-981-3926
Practice Address - Street 1:308 WASHINGTON AVE S
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-5713
Practice Address - Country:US
Practice Address - Phone:253-981-3917
Practice Address - Fax:253-981-3926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122400000XDental ProvidersDenturistGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Multi-Specialty