Individual provider · Type 1 NPI
Daniel Kim
Pediatric Dentistry · Las Vegas, NV
NPI number
1225413149
Active
Practice location
6122 W Lake Mead Blvd Ste 105
Las Vegas, NV 89108-2659
Mailing address
5994 Day Rider Ave
Las Vegas, NV 89139-6314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 31228 (TX) |
| Pediatric Dentistry Primary | 1223P0221X | S6-184C (NV) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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About NPI 1225413149
Daniel Kim's National Provider Identifier is 1225413149, issued on Jul 21, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 14, 2022.