# SUNRISE DENTAL HENDERSON LLC

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

## Provider details

- **NPI number:** 1306182019
- **Authorized official:** MR. CHING KUO TONY LEE D.M.D. (DENTIST/PRESIDENT)
- **Authorized official phone:** (702) 270-8880

## Contact information

- **Practice address:** 1550 W HORIZON RIDGE PKWY, SUITE S, HENDERSON, NV 89012-3600
- **Practice address phone:** (702) 270-8880
- **Practice address fax:** (702) 270-8886
- **Mailing address:** 1550 W HORIZON RIDGE PKWY, SUITE S, HENDERSON, NV 89012-3600
- **Mailing address phone:** (702) 270-8880
- **Mailing address fax:** (702) 270-8886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3480 | NV | Yes |

## Other

- **Enumeration date:** 12/27/2012
- **Last updated:** 12/27/2012