Qin Xia
Dentist, General Practice in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164058194
StatusActive
Last updated in NPPESJul 17, 2020
Details
- NPI
- 1164058194
- Entity type
- Individual (NPI-1)
- Name
- Qin Xia
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2020
- Certification date
- Jul 17, 2020
- Last updated
- Jul 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | LL52820 | NV | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NV |
Practice location
1700 W Charleston BlvdLas Vegas, NV 89102-2335
Phone 702-774-5175 · Fax 702-774-2812
Mailing address
1700 W Charleston BlvdLas Vegas, NV 89102-2335
Phone 702-774-5175 · Fax 702-774-2812
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