Individual
DR. HYUNSEOK CHARLIE CHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, DMD
Contact information
Practice address
640 E DEER SPRINGS WAY STE 180, NORTH LAS VEGAS, NV 89086
(702) 399-3800
Mailing address
7315 ELLINGTON PARK ST, LAS VEGAS, NV 89166-6049
(702) 589-6293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
29610
TX
122300000X
Dentist
57861
CA
122300000X
Dentist
DN18605
FL
1223G0001X
General Practice Dentistry
Primary
6902
NV
Other
Enumeration date
07/16/2009
Last updated
10/22/2019
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