| 5 Star Dental | |
|
700 E Silverado Ranch Blvd Ste 100 Las Vegas NV 89183-7517 | |
| (702) 366-6115 | |
| Not Available |
| Full Name | 5 Star Dental |
|---|---|
| Speciality | Dentist |
| Location | 700 E Silverado Ranch Blvd Ste 100, Las Vegas, Nevada |
| Authorized Official Name and Position | Phong Tran Cao (DENTIST/OWNER) |
| Authorized Official Contact | 7023666115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5 Star Dental 700 E Silverado Ranch Blvd Ste 100 Las Vegas NV 89183-7517 Ph: (702) 366-6115 | 5 Star Dental 700 E Silverado Ranch Blvd Ste 100 Las Vegas NV 89183-7517 Ph: (702) 366-6115 |
| NPI Number | 1376041053 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376041053 | NPI | - | NPPES |
| 1194972364 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5898 (Nevada) | Primary |
| 1223G0001X | Dentist - General Practice | 5898 (Nevada) | Secondary |
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