Tiburcio Ting and Chung Prof LLC

NPI #1154621407 in Las Vegas, Nevada

Provider Information

NPI Number: 1154621407
Entity Type: Organization
Organization Name: Tiburcio Ting and Chung Prof LLC
Primary Specialty: Dentist
Enumeration Date: Nov 2, 2010
Last Updated: Jun 15, 2018

Practice Location

Address: 5590 PAINTED MIRAGE RD
Address 2: STE. 140-150
City: Las Vegas
State: Nevada
ZIP Code: 89149
Phone: (702) 353-4081

Authorized Official

Name: ROLAND PISCHINGER
Title: INSURANCE DEPARTMENT MANAGER
Phone: (702) 522-2028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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