# KIM-VY C PHAM DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Inspired Dental at Sunset, Inspired Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558813733
- **Authorized official:** KIM-VY CHANH PHAM DMD (DENTIST)
- **Authorized official phone:** (702) 985-5876

## Contact information

- **Practice address:** 110 E BRUNER AVE STE 130, LAS VEGAS, NV 89183-5700
- **Practice address phone:** (702) 798-6684
- **Practice address fax:** (702) 798-7203
- **Mailing address:** 110 E BRUNER AVE STE 130, LAS VEGAS, NV 89183-5700
- **Mailing address phone:** (702) 798-6684
- **Mailing address fax:** (702) 798-7203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | 6793 | NV | — |

## Other

- **Enumeration date:** 11/03/2016
- **Last updated:** 08/08/2024