# CREATIVE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295974780
- **Authorized official:** DR. JULIA LUU LE DDS (MANAGING DENTIST)
- **Authorized official phone:** (702) 641-0481

## Contact information

- **Practice address:** 2585 S NELLIS BLVD STE 6, LAS VEGAS, NV 89121-7548
- **Practice address phone:** (702) 641-0481
- **Practice address fax:** (702) 641-0128
- **Mailing address:** 2585 S NELLIS BLVD STE 6, LAS VEGAS, NV 89121-7548
- **Mailing address phone:** (702) 641-0481
- **Mailing address fax:** (702) 641-0128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4585 | NV | Yes |

## Other

- **Enumeration date:** 02/06/2009
- **Last updated:** 02/06/2009