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Organization
GHIM PROFESSIONAL CORPORATION
Active
Organization
GHIM PROFESSIONAL CORPORATION
Active
Other names
Black Mountain Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEEYUP GHIM D.M.D. (PRESIDENT)
(702) 564-4498
Entity
Organization
Contact information
Practice address
270 E HORIZON DR, SUITE 106, HENDERSON, NV 89015-8036
(702) 564-4498
Mailing address
840 VALLEY BRUSH ST, HENDERSON, NV 89052-3813
(702) 564-4498
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4848
NV
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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