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Organization
JI IN KIM, D.D.S., PROFESSIONAL CORPORATION
Active
Organization
JI IN KIM, D.D.S., PROFESSIONAL CORPORATION
Active
Other names
Dynamic Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JI IN KIM DDS (OWNER)
(702) 642-1386
Entity
Organization
Contact information
Practice address
150 E CENTENNIAL PKWY STE 113, NORTH LAS VEGAS, NV 89084-1338
(702) 642-1386
(702) 642-6321
Mailing address
150 E CENTENNIAL PKWY STE 113, NORTH LAS VEGAS, NV 89084-1338
(702) 642-1386
(702) 642-6321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
NULL
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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