Individual
DR. JI IN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
150 E CENTENNIAL PKWY STE 113, N LAS VEGAS, NV 89084
(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
122300000X
Dentist
57816
CA
122300000X
Dentist
Primary
6120
NV
Other
Enumeration date
11/24/2008
Last updated
04/24/2019
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