# TIBURCIO TING AND CHUNG PROF LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1154621407
- **Authorized official:** ROLAND PISCHINGER (INSURANCE DEPARTMENT MANAGER)
- **Authorized official phone:** (702) 522-2028

## Contact information

- **Practice address:** 5590 PAINTED MIRAGE RD, STE. 140-150, LAS VEGAS, NV 89149
- **Practice address phone:** (702) 353-4081
- **Practice address fax:** (702) 947-6752
- **Mailing address:** 2101 S JONES BLVD STE 140, LAS VEGAS, NV 89146-3133
- **Mailing address phone:** (702) 522-2269
- **Mailing address fax:** (702) 990-8854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2010
- **Last updated:** 06/15/2018