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Organization
KELLY JIN, D.M.D., INC.
Active
Organization
KELLY JIN, D.M.D., INC.
Active
Other names
Icon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY S. JIN DMD (DENTIST/OWNER)
(702) 804-4266
Entity
Organization
Contact information
Practice address
3730 E. FLAMINGO RD., LAS VEGAS, NV 89121
(702) 804-4266
(702) 435-1222
Mailing address
7300 ARROYO CROSSING PARKWAY, #100, LAS VEGAS, NV 89113
(702) 880-4266
(702) 792-4266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3739
NV
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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