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Organization
KOHSIU KU DDS INC
Active
Organization
KOHSIU KU DDS INC
Active
Other names
Smile Haven Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOHSIU KU DDS (OWNER DENTIST)
(702) 892-9878
Entity
Organization
Contact information
Practice address
4045 S EASTERN AVE, LAS VEGAS, NV 89119
(702) 892-9878
(702) 892-9073
Mailing address
4045 S EASTERN AVE, LAS VEGAS, NV 89119
(702) 892-9878
(702) 892-9073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4996T
NV
1223G0001X
General Practice Dentistry
4996T
NV
Other
Enumeration date
11/29/2007
Last updated
10/14/2013
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