Individual
DANIEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6122 W LAKE MEAD BLVD STE 105, LAS VEGAS, NV 89108-2659
(412) 951-2799
Mailing address
5994 DAY RIDER AVE, LAS VEGAS, NV 89139-6314
(412) 951-2799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
31228
TX
1223P0221X
Pediatric Dentistry
Primary
S6-184C
NV
Other
Enumeration date
07/21/2015
Last updated
02/14/2022
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