| Dolc Unlimited | |
|
6820 W Cheyenne Ave Las Vegas NV 89108-4590 | |
| (702) 850-4002 | |
| Not Available |
| Full Name | Dolc Unlimited |
|---|---|
| Speciality | Family Medicine |
| Location | 6820 W Cheyenne Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Khanh B Pham (OWNER) |
| Authorized Official Contact | 7028504002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dolc Unlimited Po Box 35668 Las Vegas NV 89133-5668 Ph: (702) 850-4002 | Dolc Unlimited 6820 W Cheyenne Ave Las Vegas NV 89108-4590 Ph: (702) 850-4002 |
| NPI Number | 1518648807 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 10/17/2023 |
| Medicare PECOS PAC ID | 5092169607 |
|---|---|
| Medicare Enrollment ID | O20231002001182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518648807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sylvester Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255568929 PECOS PAC ID: 8820246275 Enrollment ID: I20140115000507 |
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