Organization
TOOTHFAIRY CHILDREN'S DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINH-NGUYEN LUONG DDS (DENTIST/OWNER)
(702) 222-9700
Entity
Organization
Contact information
Practice address
10925 S EASTERN AVE STE 130, HENDERSON, NV 89052-5214
(702) 222-9700
(702) 309-9700
Mailing address
10925 S EASTERN AVE STE 130, HENDERSON, NV 89052-5214
(702) 222-9700
(702) 309-9700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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