Sun Dental Professional Corporation
Dentist in Las Vegas, NV. Organization (NPI-2).
NPI number1710695424
StatusActive
Last updated in NPPESJun 2, 2023
Details
- NPI
- 1710695424
- Entity type
- Organization (NPI-2)
- Legal business name
- Sun Dental Professional Corporation
- Organization subpart
- No
- Enumeration date
- Nov 10, 2022
- Certification date
- Jun 2, 2023
- Last updated
- Jun 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
7377 S Jones Blvd Ste 110Las Vegas, NV 89139-0547
Phone 702-382-2709
Mailing address
7377 S Jones Blvd Ste 110Las Vegas, NV 89139-0547
Phone 702-382-2709
Authorized official
Dae Sun Lee
President
7023822709
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