| NPI | 1033341342 |
|---|---|
| Doing Business As | ICON DENTAL |
| Entity Type | Organization |
| Authorized Contact | KELLY S. JIN Dentist/Owner 702-804-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 3739) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |