Organization
KOHSIU KU DDS INC
Active
Other names
Smile Haven Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOHSIU KU DDS (OWNER DENTIST)
(702) 892-9878
Entity
Organization
Contact information
Practice address
4045 S EASTERN AVE, LAS VEGAS, NV 89119
(702) 892-9878
(702) 892-9073
Mailing address
4045 S EASTERN AVE, LAS VEGAS, NV 89119
(702) 892-9878
(702) 892-9073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4996T
NV
1223G0001X
General Practice Dentistry
4996T
NV
Other
Enumeration date
11/29/2007
Last updated
10/14/2013
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