Individual
MRS. CAROL LEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10473 DOUBLE R BLVD, RENO, NV 89521-8905
(775) 853-8899
(775) 853-8897
Mailing address
10473 DOUBLE R BLVD, RENO, NV 89521-8905
(775) 853-8899
(775) 853-8897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4487
NV
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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