# NAKEJI DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Luminous Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013776053
- **Authorized official:** JOSHUE RAMIREZ (MANAGER)
- **Authorized official phone:** (619) 879-2202

## Contact information

- **Practice address:** 1212 S MARYLAND PKWY, LAS VEGAS, NV 89104-1728
- **Practice address phone:** (725) 291-5588
- **Mailing address:** 1212 S MARYLAND PKWY, LAS VEGAS, NV 89104-1728
- **Mailing address phone:** (725) 291-5588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2024
- **Last updated:** 03/13/2024