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Organization

CREATIVE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIA LUU LE DDS (MANAGING DENTIST)
(702) 641-0481
Entity
Organization

Contact information

Practice address
2585 S NELLIS BLVD STE 6, LAS VEGAS, NV 89121-7548
(702) 641-0481
(702) 641-0128
Mailing address
2585 S NELLIS BLVD STE 6, LAS VEGAS, NV 89121-7548
(702) 641-0481
(702) 641-0128

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4585
NV

Other

Enumeration date
02/06/2009
Last updated
02/06/2009
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