Complete Dental LLC

NPI #1144596800 in Las Vegas, Nevada

Provider Information

NPI Number: 1144596800
Entity Type: Organization
Organization Name: Complete Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 27, 2012
Last Updated: Mar 27, 2012

Practice Location

Address: 2625 S RAINBOW BLVD
Address 2: #D100
City: Las Vegas
State: Nevada
ZIP Code: 89146-5198
Phone: (702) 227-5800

Authorized Official

Name: JONG SOOK JIN, D.D.S
Title: MANAGER
Phone: (702) 227-5800

Specialties & Taxonomy Codes

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

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