Organization
COMPLETE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONG SOOK JIN D.D.S (MANAGER)
(702) 227-5800
Entity
Organization
Contact information
Practice address
2625 S RAINBOW BLVD, #D100, LAS VEGAS, NV 89146-5198
(702) 227-5800
(702) 227-5801
Mailing address
2625 S RAINBOW BLVD, #D100, LAS VEGAS, NV 89146-5198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4759
NV
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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