| Ju Dds Professional Corporation | |
|
899 Adams Blvd Boulder City NV 89005-2235 | |
| (702) 293-0373 | |
| (702) 293-3464 |
| Full Name | Ju Dds Professional Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 899 Adams Blvd, Boulder City, Nevada |
| Authorized Official Name and Position | Nakyoung Ju (OWNER) |
| Authorized Official Contact | 7022930373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ju Dds Professional Corporation 899 Adams Blvd Boulder City NV 89005-2235 Ph: (702) 293-0373 | Ju Dds Professional Corporation 899 Adams Blvd Boulder City NV 89005-2235 Ph: (702) 293-0373 |
| NPI Number | 1598268419 |
|---|---|
| Provider Enumeration Date | 03/16/2018 |
| Last Update Date | 03/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598268419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6730 (Nevada) | Primary |
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