Michael J. Kim, DDS, Ltd.
Dentist, General Practice in Las Vegas, NV. Organization (NPI-2).
NPI number1508288606
StatusActive
Last updated in NPPESJan 9, 2014
Details
- NPI
- 1508288606
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael J. Kim, DDS, Ltd.
- Organization subpart
- No
- Enumeration date
- Jan 9, 2014
- Last updated
- Jan 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6486 | NV | Yes |
Practice location
5680 W Flamingo RdSuite A
Las Vegas, NV 89103-0169
Phone 702-876-3222
Mailing address
5680 W Flamingo RdSuite A
Las Vegas, NV 89103-0169
Authorized official
Michael Jong-Gyu Kim
President
2138201457
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