Organization
MOSAIC DENTAL, PROF. CORP.
Active
Other names
Mosaic Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAI Q. XA DMD (DOCTOR)
(702) 456-0034
Entity
Organization
Contact information
Practice address
STAR BRITE DENTAL, 893 S. RAINBOW BLVD., LAS VEGAS, NV 89145
(702) 456-0034
(702) 856-0035
Mailing address
9690 W. TROPICANA AVE., LAS VEGAS, NV 89147
(702) 433-8400
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
3780
NV
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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