# JI IN KIM, D.D.S., PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dynamic Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881439016
- **Authorized official:** DR. JI IN KIM DDS (OWNER)
- **Authorized official phone:** (702) 642-1386

## Contact information

- **Practice address:** 150 E CENTENNIAL PKWY STE 113, NORTH LAS VEGAS, NV 89084-1338
- **Practice address phone:** (702) 642-1386
- **Practice address fax:** (702) 642-6321
- **Mailing address:** 150 E CENTENNIAL PKWY STE 113, NORTH LAS VEGAS, NV 89084-1338
- **Mailing address phone:** (702) 642-1386
- **Mailing address fax:** (702) 642-6321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 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