# XA D.D.S., A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1801939608
- **Authorized official:** DR. TRUNG Q XA DDS (DENTIST)
- **Authorized official phone:** (702) 456-6678

## Contact information

- **Practice address:** 10217 W CHARLESTON BLVD, SUITE B, LAS VEGAS, NV 89135-1021
- **Practice address phone:** (702) 456-6678
- **Mailing address:** 6720 N DURANGO DR, SUITE 260, LAS VEGAS, NV 89149-4434
- **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 |
| 1223G0001X | General Practice Dentistry | 4644 | NV | — |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020