Individual
HAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4400 EMILE ST # 3602, OMAHA, NE 68198-0600
(402) 559-6000
Mailing address
3820 HARNEY ST APT 204, OMAHA, NE 68131-3853
(205) 310-5272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7770
NE
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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