Individual
JONG S JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2625 S RAINBOW BLVD STE D100, LAS VEGAS, NV 89146-0050
(702) 227-5800
(702) 227-5801
Mailing address
2625 S RAINBOW BLVD STE D100, LAS VEGAS, NV 89146-0050
(702) 227-5800
(702) 227-5801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4759T
NV
Other
Enumeration date
02/17/2006
Last updated
07/28/2020
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