# JADE DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JADE DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033400361
- **Authorized official:** DR. DAVID S LEE DMD (PRESIDENT)
- **Authorized official phone:** (702) 220-7005

## Contact information

- **Practice address:** 3959 SPRING MOUNTAIN RD, LAS VEGAS, NV 89102-8613
- **Practice address phone:** (702) 220-7005
- **Practice address fax:** (702) 220-7004
- **Mailing address:** 3959 SPRING MOUNTAIN RD, LAS VEGAS, NV 89102-8613
- **Mailing address phone:** (702) 220-7005
- **Mailing address fax:** (702) 220-7004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3518 | NV | Yes |

## Other

- **Enumeration date:** 04/20/2011
- **Last updated:** 04/20/2011