Jade Dental INC

NPI #1033400361 in Las Vegas, Nevada

Provider Information

NPI Number: 1033400361
Entity Type: Organization
Organization Name: Jade Dental INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 20, 2011
Last Updated: Apr 20, 2011

Practice Location

Address: 3959 SPRING MOUNTAIN RD
City: Las Vegas
State: Nevada
ZIP Code: 89102-8613
Phone: (702) 220-7005

Authorized Official

Name: DR. DAVID S LEE, DMD
Title: PRESIDENT
Phone: (702) 220-7005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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