Individual
SHUTIAN DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 S RANCHO DR STE 3, LAS VEGAS, NV 89106-3828
(702) 878-0808
Mailing address
7608 BAUBLE AVE, LAS VEGAS, NV 89128-2617
(323) 200-4228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7932
NV
1223G0001X
General Practice Dentistry
0401418655
VA
Other
Enumeration date
10/02/2023
Last updated
02/24/2025
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