Individual
HYE SUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8035 S RAINBOW BLVD STE 102, LAS VEGAS, NV 89139-6549
(702) 896-7211
Mailing address
1320 BROADWAY, GARY, IN 46407
(219) 616-6809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12012878B
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-367
NV
Other
Enumeration date
06/04/2017
Last updated
07/26/2022
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