Dominic DO, DDS
Dentist, General Practice in Las Vegas, NV. Individual provider (NPI-1).
NPI number1679660484
StatusActive
Last updated in NPPESJul 15, 2009
Details
- NPI
- 1679660484
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dominic DO
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2006
- Last updated
- Jul 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4817 | NV | Yes |
| 1223G0001X | Dentist, General Practice | 53205 | CA |
Other names
- Luyen Duc DO (Former Name)
Practice location
3211 N. Tenaya WaySte 122
Las Vegas, NV 89129
Phone 702-641-2300 · Fax 702-641-2323
Mailing address
3211 N. Tenaya WaySte 122
Las Vegas, NV 89129
Phone 702-641-2300 · Fax 702-641-2323
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