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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