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Individual

JOHN JINSEO KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 BREAKTHROUGH WAY # 3128, LAS VEGAS, NV 89135-3011
(702) 968-7073
Mailing address
1 BREAKTHROUGH WAY # 3128, LAS VEGAS, NV 89135-3011

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8000
NV

Other

Enumeration date
07/10/2023
Last updated
05/21/2024
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Product
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  • Eligibility checks
  • EDI platform