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Organization
PHONG TRAN CAO PLLC
Active
Organization
PHONG TRAN CAO PLLC
Active
Other names
5 Star Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHONG TRAN CAO DDS (DENTIST/OWNER)
(702) 366-6115
Entity
Organization
Contact information
Practice address
700 E SILVERADO RANCH BLVD STE 100, LAS VEGAS, NV 89183-7517
(702) 366-6115
Mailing address
700 E SILVERADO RANCH BLVD STE 100, LAS VEGAS, NV 89183-7517
(702) 366-6115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5898
NV
1223G0001X
General Practice Dentistry
5898
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194972364
DENTIST
CA
Enumeration date
01/26/2018
Last updated
03/17/2018
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