Organization
JADE DENTAL INC
Active
Other names
JADE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S LEE DMD (PRESIDENT)
(702) 220-7005
Entity
Organization
Contact information
Practice address
3959 SPRING MOUNTAIN RD, LAS VEGAS, NV 89102-8613
(702) 220-7005
(702) 220-7004
Mailing address
3959 SPRING MOUNTAIN RD, LAS VEGAS, NV 89102-8613
(702) 220-7005
(702) 220-7004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3518
NV
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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