Complete Dental Llc

NPI 1144596800 - Dentist - 1223G0001X

NPI Details
NPI 1144596800
Enumeration Date 03/27/2012
Last Updated 03/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JONG SOOK JONG
Position MANAGER
Phone (702) 227-5800
Fax (702) 227-5801
Practice Location
2625 S RAINBOW BLVD
#D100
LAS VEGAS NV, 89146-5198, US
Phone (702) 227-5800
Fax (702) 227-5801
Business Location
2625 S RAINBOW BLVD
#D100
LAS VEGAS NV, 89146-5198, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Nevada
License Number 4759
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According to our database, Complete Dental Llc NPI is 1144596800, taxonomy code is 1223G0001X and license number is 4759, license state is located at Nevada. Complete Dental Llc physically located at 2625 S Rainbow Blvd, Las Vegas NV, 89146-5198. NPI Number 1033115704 has the healthcare provider type.

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1144596800 NPI number is provided on an as is basis without warranty of any kind. 1144596800 is maintained by the National Plan & Provider Enumeration System. The contents of Complete Dental Llc are for informational purposes only.