Organization
BAO DDS PLLC
Active
Other names
Windmill Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SISI BAO DDS (OWNER DENTIST)
(702) 708-1299
Entity
Organization
Contact information
Practice address
7960 S RAINBOW BLVD, SUITE 8000B, LAS VEGAS, NV 89139
(702) 708-1299
Mailing address
7960 S RAINBOW BLVD, SUITE 8000B, LAS VEGAS, NV 89139
(702) 708-1299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S6-218C
DENTAL LICENSE
NV
Enumeration date
12/04/2023
Last updated
12/04/2023
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