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Organization
KIM HENDERSON KIDS DENTISTRY PC
Active
Organization
KIM HENDERSON KIDS DENTISTRY PC
Active
Other names
HENDERSON KIDS DENTISTRY AND ORTHODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
KYUNG M KING DDS (OWNER)
(702) 558-8543
Entity
Organization
Contact information
Practice address
382 W LAKE MEAD PKWY STE 130, HENDERSON, NV 89015-7292
(703) 558-8543
(702) 673-1119
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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