Individual
DR. SHANNA KYUNGMI KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4840 VISTA BLVD STE 108, SPARKS, NV 89436-2850
(775) 362-9374
Mailing address
PO BOX 17128, RENO, NV 89511-3101
Taxonomy
Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
Primary
7344
NV
Other
Enumeration date
01/14/2011
Last updated
11/28/2024
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