| Ji Ae Cutter Dmd Professional Corp | |
|
6376 Spring Mountain Rd Ste 3 Las Vegas NV 89146-8818 | |
| (702) 220-8488 | |
| Not Available |
| Full Name | Ji Ae Cutter Dmd Professional Corp |
|---|---|
| Speciality | Dentist |
| Location | 6376 Spring Mountain Rd Ste 3, Las Vegas, Nevada |
| Authorized Official Name and Position | Ji Ae Cutter (DOCTOR) |
| Authorized Official Contact | 7022208488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ji Ae Cutter Dmd Professional Corp 6376 Spring Mountain Rd Ste 3 Las Vegas NV 89146-8818 Ph: (702) 220-8488 | Ji Ae Cutter Dmd Professional Corp 6376 Spring Mountain Rd Ste 3 Las Vegas NV 89146-8818 Ph: (702) 220-8488 |
| NPI Number | 1528726031 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
| Medicare PECOS PAC ID | 6305238122 |
|---|---|
| Medicare Enrollment ID | O20220127002074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528726031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Ji Ae Cutter |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1215110242 PECOS PAC ID: 7416349238 Enrollment ID: I20220127002005 |
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