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General NPI Number Information
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NPI Number | 1306969597
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Entity Type | Organization
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Legal Business Name | HENRY H. KIM, DDS,LTD
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 5680 W FLAMINGO RD SUITE A
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City | LAS VEGAS
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State | NV
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Zip | 89103-0169
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Country | US
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Telephone | 702-876-3222
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Fax | 702-876-4422
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Provider Business Mailing Address
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Address Line | 5680 W FLAMINGO RD SUITE A
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City | LAS VEGAS
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State | NV
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Zip | 89103-0169
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Country | US
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Telephone | 702-876-3222
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Fax | 702-876-4422
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Authorized Official
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Title or Position | OWNER
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Name | DR. HENRY H KIM
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Credential | DDS
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Telephone | 702-876-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4895T
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License Number State | NV
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