Organization
TIBURCIO TING AND CHUNG PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T TING DMD (OWNER/DENTIST)
(702) 450-8888
Entity
Organization
Contact information
Practice address
5590 PAINTED MIRAGE RD, SUITE 140-150, LAS VEGAS, NV 89149-4579
(702) 450-8888
(702) 450-8899
Mailing address
5590 PAINTED MIRAGE RD, SUITE 140-150, LAS VEGAS, NV 89149-4579
(702) 450-8888
(702) 450-8899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3692
NV
1223G0001X
General Practice Dentistry
4274
NV
1223G0001X
General Practice Dentistry
5737
NV
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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