Organization
JI IN KIM, D.D.S., PROFESSIONAL CORPORATION
Active
Other names
Dynamic Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JI IN KIM DDS (OWNER)
(702) 642-1386
Entity
Organization
Contact information
Practice address
150 E CENTENNIAL PKWY STE 113, NORTH LAS VEGAS, NV 89084-1338
(702) 642-1386
(702) 642-6321
Mailing address
150 E CENTENNIAL PKWY STE 113, NORTH LAS VEGAS, NV 89084-1338
(702) 642-1386
(702) 642-6321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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