# BRIDENT NEVADA EMILY LEE DDS PC

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

## Provider details

- **NPI number:** 1376250027
- **Authorized official:** PREET TAKKAR (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (714) 571-3372

## Contact information

- **Practice address:** 4121 W SAHARA AVE, LAS VEGAS, NV 89102-3704
- **Practice address phone:** (702) 257-9090
- **Mailing address:** 530 S MAIN ST, ORANGE, CA 92868-4525
- **Mailing address phone:** (714) 480-3000
- **Mailing address fax:** (714) 571-6445

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 11/02/2022
