Individual
SALLY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
860 S RANCHO DR STE 3, LAS VEGAS, NV 89106-3828
(702) 291-2031
Mailing address
2250 S RANCHO DR STE 205, LAS VEGAS, NV 89102-4456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
063697
NY
Other
Enumeration date
04/28/2021
Last updated
06/10/2024
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