Individual
HEIDI HYE WON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1820 E CRAIG RD STE 102, NORTH LAS VEGAS, NV 89030-3321
(702) 680-1009
Mailing address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8014
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2024
Last updated
10/02/2024
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