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2700 E Lake Mead Blvd Ste 6 North Las Vegas NV 89030-6512 | |
| (702) 649-7708 | |
| (702) 649-8074 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2700 E Lake Mead Blvd, North Las Vegas, Nevada |
| Authorized Official Name and Position | David Lee (PRESIDENT) |
| Authorized Official Contact | 7022418206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2700 E Lake Mead Blvd Ste 6 North Las Vegas NV 89030-6512 Ph: (702) 649-7708 | 2700 E Lake Mead Blvd Ste 6 North Las Vegas NV 89030-6512 Ph: (702) 649-7708 |
| NPI Number | 1285890004 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285890004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3518 (Nevada) | Primary |
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