Kim, Shanna Kyungmi

Kim, Shanna Kyungmi is an individual health care provider with primary practice located at 601 W Moana Ln Ste 6 , Reno NV 89509-4959. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is her primary health care specialty. Kim, Shanna Kyungmi can be contacted via phone (775) 583-7755.

Contact Information

Primary practice address
601 W Moana Ln Ste 6 Reno NV 89509-4959
Phone: (775) 583-7755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D008160 Arizona
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7344 Nevada

Profile Details

NPI number 1710282272
LBN Legal business name Kim, Shanna Kyungmi
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2011
Last updated Nov 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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