Individual
JAMES KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3140 S DURANGO DR, STE 100, LAS VEGAS, NV 89117-9189
(917) 407-8141
Mailing address
526 S TONOPAH DR, STE. 200, LAS VEGAS, NV 89106-4043
(702) 291-2031
(702) 366-1483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
58517
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
58517
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S2-141C
NV
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
127414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588896740
—
NV
Enumeration date
08/20/2009
Last updated
06/15/2016
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