# TRUNG XA DDS AND DIANA XA DDS, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Star Brite Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619026549
- **Authorized official:** DR. TRUNG Q XA (OFFICER)
- **Authorized official phone:** (702) 893-2288

## Contact information

- **Practice address:** 6720 N DURANGO DR STE 260, LAS VEGAS, NV 89149-4436
- **Practice address phone:** (702) 893-2288
- **Practice address fax:** (702) 893-2033
- **Mailing address:** 6720 N DURANGO DR STE 260, LAS VEGAS, NV 89149-4436
- **Mailing address phone:** (702) 893-2288
- **Mailing address fax:** (702) 893-2033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4623 | NV | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 08/22/2020