Provider Demographics
NPI:1912703398
Name:DONGKOOK DENNIS LIM, PLLC
Entity type:Organization
Organization Name:DONGKOOK DENNIS LIM, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONGKOOK
Authorized Official - Middle Name:
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-344-9678
Mailing Address - Street 1:19106 33RD AVE W STE 2
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4712
Mailing Address - Country:US
Mailing Address - Phone:425-774-1811
Mailing Address - Fax:425-774-3760
Practice Address - Street 1:19106 33RD AVE W STE 2
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4712
Practice Address - Country:US
Practice Address - Phone:425-774-1811
Practice Address - Fax:425-774-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty