Sunrise Dental Henderson LLC

NPI #1306182019 in Henderson, Nevada

Provider Information

NPI Number: 1306182019
Entity Type: Organization
Organization Name: Sunrise Dental Henderson LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 27, 2012
Last Updated: Dec 27, 2012

Practice Location

Address: 1550 W HORIZON RIDGE PKWY
Address 2: SUITE S
City: Henderson
State: Nevada
ZIP Code: 89012-3600
Phone: (702) 270-8880

Authorized Official

Name: MR. CHING KUO TONY LEE, D.M.D.
Title: DENTIST/PRESIDENT
Phone: (702) 270-8880

Specialties & Taxonomy Codes

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

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