Organization
MICHAEL J. KIM, DDS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JONG-GYU KIM (PRESIDENT)
(213) 820-1457
Entity
Organization
Contact information
Practice address
5680 W FLAMINGO RD, SUITE A, LAS VEGAS, NV 89103-0169
(702) 876-3222
Mailing address
5680 W FLAMINGO RD, SUITE A, LAS VEGAS, NV 89103-0169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6486
NV
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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