Individual provider · Type 1 NPI

Jong Kim

General Practice Dentistry · Las Vegas, NV

NPI number 1104079680 Active

About NPI 1104079680

Jong Kim's National Provider Identifier is 1104079680, issued on Oct 29, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 29, 2008.