DR. Jae Gwon Kim, D.D.S

NPI #1083832273 in Las Vegas, Nevada

Provider Information

NPI Number: 1083832273
Entity Type: Individual
Name: DR. Jae Gwon Kim, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Apr 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 777 N. RAINBOW BLVD.
Address 2: STE. 395
City: Las Vegas
State: Nevada
ZIP Code: 89107
Phone: (702) 939-2875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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