NPI | 1376041053 |
---|---|
Doing Business As | 5 STAR DENTAL |
Entity Type | Organization |
Authorized Contact | PHONG TRAN CAO Dentist/Owner 702-366-6115 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NV 5898) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 5898) |
Enumeration Date | 2018-01-26 |
Last Update Date | 2018-03-17 |